KICK THE HABIT ADDICTION MEDICINE LLC NPI 1780154195

NPI Information

  • NPI: 1780154195
  • Provider Name: KICK THE HABIT ADDICTION MEDICINE, LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 74 S 360 E
    AMERICAN FORK, UT
    ZIP 84003
  • Phone: (949) 237-2874

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NPI Details

KICK THE HABIT ADDICTION MEDICINE, LLC is a medical specialty clinic center in American Fork, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). KICK THE HABIT ADDICTION MEDICINE, LLC NPI is 1780154195. The provider is registered as an organization entity type.

The provider's business location address is:

74 S 360 E
AMERICAN FORK, UT
ZIP 84003-590
Phone: (949) 237-2874
Fax: (844) 240-9439

The provider's authorized official is Robert Joel Bush .
The authorized official title is Ceo and has the following contact phone number (949) 237-2874.

The enumeration date for this NPI number is 11/28/2018 and was last updated on 3/5/2019.

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
1261QM2500XClinic/CenterMedical SpecialtyYes

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

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