KEVIN T VICK CRNA NPI 1831294784

NPI Information

  • NPI: 1831294784
  • Provider Name: KEVIN T VICK, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 3460 PIONEER PKWY
    WEST VALLEY, UT
    ZIP 84120
  • Phone: (801) 993-1566

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NPI Details

Kevin T Vick, CRNA is a nurse anesthetist certified registered in West Valley, UT. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Kevin T Vick, CRNA NPI is 1831294784. 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:

3460 PIONEER PKWY
WEST VALLEY, UT
ZIP 84120-049
Phone: (801) 993-1566
Fax: (801) 733-5618

The enumeration date for this NPI number is 9/14/2006 and was last updated on 7/8/2007.

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
1367500000XNurse Anesthetist, Certified Registered5594772-4406UTAHYes

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
1880917OTHERUTAHDESERET MUTUAL
2P00149473MEDICARE ID-TYPE UNSPECIFIEDUTAHRAILROAD MEDICARE
3218512OTHERUTAHALTIUS
4Q19326MEDICARE UPINUTAH
5TPRA09780OTHERUTAHMOLINA
678674OTHERUTAHPEHP

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: 11/21/2025

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