Individual
DR. KORY T ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-3364
(801) 475-1621
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-3364
(801) 475-1621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3083260-1205
UT
208M00000X
Hospitalist Physician
Primary
3083260-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00642566
MEDICARE RAILROAD
UT
Enumeration date
03/05/2007
Last updated
04/06/2026
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