Individual
MR. BRIAN TRAINOR KASAVANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 585-0187
Mailing address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 585-0187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13008333-1206
UT
363AM0700X
Medical Physician Assistant
13008333-1206
UT
Other
Enumeration date
04/21/2021
Last updated
10/07/2025
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