CARL KENT HEBDON MD PC NPI 1124114038

NPI Information

  • NPI: 1124114038
  • Provider Name: CARL KENT HEBDON MD PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: CENTER FOR PERFORMANCE AND LONGEVITY
  • Address: 2040 MURRAY HOLLADAY RD
    SUITE 209
    SALT LAKE CITY, UT
    ZIP 84117
  • Phone: (801) 273-0306

Map and Directions

Get Directions

NPI Details

CARL KENT HEBDON MD PC is a specialist in Salt Lake City, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CARL KENT HEBDON MD PC NPI is 1124114038. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Center For Performance And Longevity.

The provider's business location address is:

2040 MURRAY HOLLADAY RD
SUITE 209
SALT LAKE CITY, UT
ZIP 84117-185
Phone: (801) 273-0306
Fax: (801) 273-0317

The provider's authorized official is Carl Kent Hebdon .
The authorized official title is Medical Director and has the following contact phone number (801) 547-1991.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 9/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist160845-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000059336MEDICARE PINUTAH
2529602584001MEDICAIDUTAH
3000059337MEDICARE PINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI