Individual
KEVIN L ASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 993-9530
(801) 733-5618
Mailing address
1954 FORT UNION BLVD, SALT LAKE CITY, UT 84121-6800
(801) 993-9530
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
188289-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107007378101
IHC
UT
01
—
2000002
UNITED HEALTHCARE
UT
01
—
36392
PEHP
UT
05
—
52555
—
UT
01
—
670208
DESERET MUTUAL
UT
01
—
870482642AS1
EDUCATORS MUTUAL
UT
01
—
PR00615
MOLINA
UT
01
—
QM0000017429
ALTIUS
UT
Enumeration date
09/20/2006
Last updated
07/09/2007
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