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KELLEN HIRSCH MD NPI 1225659170


NPI Information

NPI: 1225659170
Provider Name: KELLEN HIRSCH, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
HELIX: 30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 581-2121
Get Directions

Kellen Hirsch, MD is a cardiovascular disease internal medicine in Salt Lake City, UT with 4 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Kellen Hirsch, MD NPI is 1225659170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:2020

The provider's business location address is:

HELIX: 30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT
ZIP 84112-095
Phone: (801) 581-2121

The NPI 1225659170 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2020 and was last updated on 3/29/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMD61283933WASHINGTONNo
2207RC0000XInternal MedicineCardiovascular DiseaseMD61283933WASHINGTONNo
3208M00000XHospitalistMD61283933WASHINGTONNo
4207RC0000XInternal MedicineCardiovascular Disease13891964-1205UTAHYes

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: 4/28/2024

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.