Lee G Kennard, MD | |
1034 N 500 W, Provo, UT 84604 | |
(801) 993-9582 | |
(801) 733-5618 |
Full Name | Lee G Kennard |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1034 N 500 W, Provo, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922193457 | NPI | - | NPPES |
944422 | Medicaid | AZ | |
QM0000075886 | Other | UT | ALTIUS |
35865 | Other | UT | DESERET MUTUAL |
37800 | Other | UT | PEHP |
PRA01827 | Other | UT | MOLINA |
870545614KE1 | Other | UT | EDUCATORS MUTUAL |
8597445 | Other | UT | WORKERS COMP |
1502954 | Other | UT | UMWA |
2090168 | Other | UT | UNITED HEALTHCARE |
107006657101 | Other | UT | IHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 164604-1205 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lee G Kennard, MD 2975 W Executive Pkwy, 200, Lehi, UT 84043 Ph: (801) 990-1911 | Lee G Kennard, MD 1034 N 500 W, Provo, UT 84604 Ph: (801) 993-9582 |
Dr. Daniel Rey Faber, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 280 River Park Dr, #200, Provo, UT 84604 Phone: 801-223-4860 Fax: 801-371-8993 | |
John B Zimmerman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
David Groesbeck, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
Carl Thayne Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
Mr. Matthew David Wagaman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 770-701-6675 | |
Mitchell D Albrecht, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84004 Phone: 801-993-9582 Fax: 801-733-5618 | |
Mark Critchfield, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 |