Kindly Md, Inc. | |
5097 S 900 E Ste 100 Millcreek UT 84117-5725 | |
(801) 851-5554 | |
(833) 464-2575 |
Full Name | Kindly Md, Inc. |
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Speciality | General Practice |
Location | 5097 S 900 E Ste 100, Millcreek, Utah |
Authorized Official Name and Position | Amy Cowan (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 8018515554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kindly Md, Inc. 5097 S 900 E Salt Lake Cty UT 84117-5768 Ph: (801) 851-5554 | Kindly Md, Inc. 5097 S 900 E Ste 100 Millcreek UT 84117-5725 Ph: (801) 851-5554 |
NPI Number | 1225647480 |
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Provider Enumeration Date | 07/23/2020 |
Last Update Date | 08/24/2023 |
Medicare PECOS PAC ID | 8921471897 |
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Medicare Enrollment ID | O20230224001420 |
Identifier | Type | State | Issuer |
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1225647480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Jamie L Bustamante |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1982097127 PECOS PAC ID: 3779898747 Enrollment ID: I20170616001956 |
Provider Name | Shane S. Jaimez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780156661 PECOS PAC ID: 0749510931 Enrollment ID: I20191002000382 |
Provider Name | Charles Arena |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164664637 PECOS PAC ID: 5092118133 Enrollment ID: I20230322001204 |
Full Circle Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr Ste 220, Millcreek, UT 84124 Phone: 385-308-0076 | |
Wasatch Physical Therapy & Rehabilitation, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3920 S 1100 E Ste 115, Millcreek, UT 84124 Phone: 801-713-0610 Fax: 801-713-0613 |