Kyle Christansen
Individual provider Active NPI Counselor · Spring City, UT
NPI 1578853446 · NPPES record last updated Apr 13, 2011
Key facts
- NPI
- 1578853446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 15620 North 1450 East
Spring City, UT 84662 - Phone
- (435) 462-5704
- Fax
- (435) 462-5703
- NPI assigned
- Apr 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
15620 North 1450 East
Spring City, UT 84662
Mailing address
PO Box 461
Moroni, UT 84646
Other providers in Spring 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 13, 2011. 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.