Kevin Allen, DC
Individual provider Active NPI Chiropractor · Salt Lake City, UT
NPI 1366071649 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1366071649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 13204325-1202 (UT)
- Practice address
- 747 E South Temple Ste 200
Salt Lake City, UT 84102-1217 - Phone
- (801) 530-4802
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13204325-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theodore L Conger D.C., Inc | Chiropractor | Current |
Accepting new patients |
| Summit Spine and Sport Chiropractic, PLLC | Past |
Accepting new patients |
Locations
747 E South Temple
Ste 200
Salt Lake City, UT 84102
Phone (801) 530-4802
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13204325-1202 | UT | Yes |
Addresses
Primary practice location
747 E South Temple Ste 200
Salt Lake City, UT 84102-1217
Mailing address
747 E South Temple Ste 200
Salt Lake City, UT 84102-1217
Phone (801) 530-4802
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.