Kiley Glenn Anderson, R.T.(R)(N)(VI) CNMT

Primary specialty

Vascular-Interventional Technology Radiologic TechnologistTaxonomy code 2471V0106X

License

7906934-5401 Issued in UT

Practice address

439 Bryan Avenue
Salt Lake City, UT 84115

Phone

(740) 350-6281

NPI assigned

May 26, 2015

Last updated

May 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1952780728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 E BRYAN AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151713",
            "telephone_number": "740-350-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 BRYAN AVENUE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84115",
            "telephone_number": "740-350-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KILEY",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "R.T.(R)(N)(VI) CNMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": "UT",
            "license": "7906934-5401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Anderson, DNP, APRN-CNP, FNP-C
• Kelsey Anderson
• Kelsey Anderson, MD
• Kennadee Anderson
• Kent Taylor Anderson, LCSW
• Kristin Anderson
• Lana Vivienne Anderson
• Laura Carrie Anderson
• Laura M Anderson, MD
• Laura McGraw Anderson, C.N.M., D.N.P

• Radiologic Technologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Radiologic Technologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.