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Individual

JAMES KEVIN VISKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGPCNP-BC

Contact information

Practice address
1881 W TRAVERSE PKWY, STE E510, LEHI, UT 84043-5986
(385) 434-1141
(801) 335-5125
Mailing address
1881 W TRAVERSE PKWY, STE E510, LEHI, UT 84043-5986
(385) 434-1141
(801) 434-1141

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
264688-3102
UT
363LA2200X
Adult Health Nurse Practitioner
264688-4405
UT
363LG0600X
Gerontology Nurse Practitioner
264688-4405
UT
363LP2300X
Primary Care Nurse Practitioner
264688-4405
UT
363LP2300X
Primary Care Nurse Practitioner
Primary
264688-44059
UT

Other

Enumeration date
11/19/2013
Last updated
11/14/2017
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