KYLE DAVID WILKENS (NPI# 1689845364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689845364 |
Entity Type | Individual |
Full Name | KYLE DAVID WILKENS |
Practice Address |
1820 Sidewinder Dr Park City UT 84060-7492 |
Practice Telephone | 4356556600 |
Practice Fax Number | 4356552388 |
Mailing Telephone | 4356556600 |
Mailing Fax Number | 4356552388 |
Enumeration Date | 2008-03-20 |
Last Update Date | 2008-03-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
6384251-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1820 SIDEWINDER DR |
City | PARK CITY |
State | UT |
Zip Code | 84060-7492 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275514499 | Charles C Lind | Orthopaedic Surgery | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2005-11-07 |
1487830287 | Norma Elizabeth Johnson | Specialist/Technologist | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2008-01-11 |
1538355284 | Ihc Health Services, Inc. | Clinic/Center | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2007-09-17 |
1730197252 | Troy Johnson | Physician Assistant | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-08-03 |
1710995386 | R Steven Klatt | Physician Assistant | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-08-03 |
1720096324 | Steven Pearmain | Physician Assistant | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-08-03 |
1598708182 | Sandra Jolene Lehman | Optometrist | 1820 Sidewinder Dr, Suite 101, Park City, UT 84060-7492 | 2006-06-13 |
1144273905 | Thomas D Rosenberg | Orthopaedic Surgery | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-05-19 |
1750333092 | Michael Hawkes Metcalf | Orthopaedic Surgery | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-05-16 |
1891747291 | Vernon J Cooley | Orthopaedic Surgery | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-05-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982233920 | Livecare, Inc. | Nursing Care | 1830 Prospector Avenue, Park City, UT 84060 | 2020-04-02 |
1063904266 | Louise Knetzger Gallagher | Acupuncturist | 1107 Woodside Ave, Park City, UT 84060 | 2018-06-04 |
1942753421 | Valerie Alison Mey | Dietitian, Registered | 2985 Arabian Dr, Park City, UT 84060 | 2016-08-01 |
1659720936 | Vibrant Health PC | Anesthesiology | 1910 Prospector Ave Suite 302, Park City, UT 84060 | 2016-06-08 |
1538538657 | Pamela Hilbert | Dentist | 1830 Prospector Ave., Park City, UT 84060 | 2015-09-18 |
1174904924 | Julie Anna Bullen | Counselor | 2300 Monitor Drive, Park City, UT 84060 | 2015-06-17 |
1265825319 | William Gary Smith | Obstetrics & Gynecology | 2501 Creek Drive, Park City, UT 84060 | 2015-03-13 |
1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
1538454541 | Belinda Duncan | Pharmacist | 2700 E Deer Valley Dr B105, Park City, UT 84060 | 2011-06-17 |
1184888315 | Cody Michael Calderwood | Dentist | 1600 Snow Creek Dr Ste A, Park City, UT 84060 | 2008-07-16 |
Find all providers in zip 84060 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275909418 | Charles Dupaix | Physician Assistant | 900 Round Valley Dr, Suite 100, Park City, UT 84060-7552 | 2015-08-11 |
1730197252 | Troy Johnson | Physician Assistant | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-08-03 |
1710995386 | R Steven Klatt | Physician Assistant | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-08-03 |
1720096324 | Steven Pearmain | Physician Assistant | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649892829 | Van Martin Stonehocker | Physician Assistant | 755 W Center St, Orem, UT 84057-5365 | 2020-05-11 |
1366004517 | Brock Bodily | Physician Assistant | 10623 S Redwood Rd # 101, South Jordan, UT 84095-2481 | 2019-07-08 |
1891230041 | Sarah Danielle Mendenhall | Physician Assistant | 5169 S Cottonwood St Ste 600, Murray, UT 84107-6771 | 2016-12-26 |
1104284124 | Amanda Cummings | Physician Assistant | 30 N 1900 E # 3b110, Salt Lake City, UT 84132-0002 | 2016-02-04 |
1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
1861895344 | Ariel Black | Physician Assistant | 30 N 1900 E # 3c344, Salt Lake City, UT 84132-0002 | 2014-09-29 |
1336493709 | Monica L Hatch | Physician Assistant | 2132 N 1700 W Ste 200, Layton, UT 84041-7060 | 2012-11-06 |
1912130311 | Andrew M Strong | Physician Assistant | 5323 Woodrow St Ste 202, Salt Lake City, UT 84107-5848 | 2009-09-01 |
1164666061 | Stephen A Loper | Physician Assistant | 1055 N 500 W Ste 211, Provo, UT 84604-3305 | 2009-04-23 |
1982869210 | Scott D Taylor | Physician Assistant | 5323 Woodrow St Ste 102, Murray, UT 84107-5853 | 2008-07-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.