Individual
SHANE A. KAYSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
ECCLES INSITITUTE OF HUMAN GENETICS: 15 N MEDICAL DR., SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
ECCLES INSITITUTE OF HUMAN GENETICS: 15 N MEDICAL DR., SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
13509655-1204
UT
Other
Enumeration date
03/28/2022
Last updated
08/07/2023
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