KIRK D KINGERY PT NPI 1184735755

NPI Information

NPI: 1184735755
Provider Name: KIRK D KINGERY, PT
Classification: Physical Therapist - 2251H1200X
Entity Type: Individual

Specialization: Hand

Address:
1055 N 500 W
SUITE 122
PROVO, UT
ZIP 84604
Phone: (801) 429-0610
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Kirk D Kingery, PT is a hand physical therapist in Provo, UT. Kirk D Kingery, PT NPI is 1184735755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1055 N 500 W
SUITE 122
PROVO, UT
ZIP 84604-305
Phone: (801) 429-0610
Fax: (801) 429-0629

The enumeration date for this NPI number is 8/31/2006 and was last updated on 4/11/2008.

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
1	2251H1200X	Physical Therapist	Hand	260693-2401	UTAH	Yes

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
1	0651550002	MEDICARE NSC	UTAH

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: 11/14/2023

NPI Synchronization or Removal

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