Kevin L Jansen in South Salt Lake - Nephrology

Kevin L Jansen - NPI 1013908995

Kevin L Jansen is a Nephrology in South Salt Lake, Utah. Kevin L Jansen practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Kevin L Jansen is 1013908995. The last update date is 2021-03-25.

Kevin L Jansen's current location address is 3702 S State St Ste 107, South Salt Lake, Utah. You can contact this provider via phone number 8012882634 and fax number 8012881186. The mailing address for Kevin L Jansen is 3702 S State St Ste 107, South Salt Lake, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin L Jansen
Address 3702 S State St Ste 107, South Salt Lake, Utah
Phone Number 8012882634
Fax Number 8012881186
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1013908995
Provider Enumeration Date 2005-10-31
Last Updated Date 2021-03-25

Provider Mailing Address Detail

Address 3702 S State St Ste 107
City South Salt Lake
State Utah (UT)
Post Code 841155096
Phone Number 8012882634
Fax Number 8012881186

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No 6555293-1205
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4828000340001 UT --

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FAQs about Kevin L Jansen

What is the Kevin L Jansen's 1013908995?

The Kevin L Jansen's NPI (National Provider Identifier) Number is 1013908995. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kevin L Jansen?

The Kevin L Jansen is physically situated at 3702 S State St Ste 107, in the city of South Salt Lake, state of UT, with the postal code 841155096.

What is Kevin L Jansen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kevin L Jansen is Nephrology, and the taxonomy code that classifies this field of practice is 207Rn0300X.

On what date was the 1013908995 assigned to Kevin L Jansen?

The Kevin L Jansen was issued its 1013908995 on 2005-10-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Kevin L Jansen most recently updated or revised?

The information pertaining to Kevin L Jansen, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-25.

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