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Individual

KURT L CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1000 E 100 N, PAYSON, UT 84651-1600
(800) 748-4868
(801) 733-5872
Mailing address
23 S 500 W, SALEM, UT 84653-9304
(801) 423-1969

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
216325-4406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107007549101
IHC
UT
01
167691
DESERET MUTUAL
UT
01
34789
PEHP
UT
01
52943
HEALTHY U
UT
01
870525882CH1
EDUCATORS MUTUAL
UT
01
PRA01344
MOLINA
UT
01
QM0000076595
ALTIUS
UT
Enumeration date
09/13/2006
Last updated
07/08/2007
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