Kent Blad is a Pediatrics in Provo, Utah. Kent Blad practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kent Blad is 1336219906. The last update date is 2011-10-19.
Kent Blad's current location address is 1675 N Freedom Blvd, Provo, Utah. You can contact this provider via phone number 8013778000 and fax number 8013778001. The mailing address for Kent Blad is 1675 N Freedom Blvd, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent Blad |
|---|---|
| Address | 1675 N Freedom Blvd, Provo, Utah |
| Phone Number | 8013778000 |
| Fax Number | 8013778001 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1336219906 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2011-10-19 |
Provider Mailing Address Detail
| Address | 1675 N Freedom Blvd |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846042540 |
| Phone Number | 8013778000 |
| Fax Number | 8013778001 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 217117-4405 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D2731 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kent Blad by the Centers for Medicare & Medicaid Services?
The Kent Blad has been assigned the NPI (National Provider Identifier) 1336219906 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kent Blad's physical address?
The Kent Blad is physically located at 1675 N Freedom Blvd, in the city of Provo, UT, with the postal code 846042540.
What is the Kent Blad's area of specialization and corresponding taxonomy classification?
The Kent Blad's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.
When did the Kent Blad receive its 1336219906?
The Kent Blad was issued its 1336219906 on 2006-11-09, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kent Blad, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kent Blad, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-19.
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