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Individual

KEVIN K HAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1014 E 220 N, AMERICAN FORK, UT 84003-2962
(801) 763-5461
Mailing address
1014 E 220 N, AMERICAN FORK, UT 84003-2962
(801) 763-5461

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
191761-4406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01917614401001
BCBS
UT
01
107009408102
IHC
UT
01
660758
DESERET MUTUAL
UT
01
66111
PEHP
UT
01
93654
HEALTHY U
UT
01
PRA04308
MOLINA
UT
01
QM0000054865
ALTIUS
UT
Enumeration date
09/16/2006
Last updated
03/19/2008
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