Kevin T Vick, CRNA is a
Nurse Anesthetist, Certified Registered based in West Valley, Utah. Kevin T Vick is licensed to practice in Utah (license number 5594772-4406) and his current practice location is
3460 Pioneer Pkwy, West Valley, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 993-1566.
NPI number for Kevin T Vick is 1831294784 and his current mailing address is 1954 Fort Union Blvd, Suite 100, Salt Lake City, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831294784.
Provider's Profile
Full Name | Kevin T Vick |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 3460 Pioneer Pkwy, West Valley, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831294784
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kevin T Vick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831294784 | NPI | - | NPPES |
TPRA09780 | Other | UT | MOLINA |
218512 | Other | UT | ALTIUS |
78674 | Other | UT | PEHP |
880917 | Other | UT | DESERET MUTUAL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 5594772-4406 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin T Vick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kevin T Vick, CRNA 1954 Fort Union Blvd, Suite 100, Salt Lake City, UT 84121-6800 Ph: () - | Kevin T Vick, CRNA 3460 Pioneer Pkwy, West Valley, UT 84120-2049 Ph: (801) 993-1566 |
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