Individual provider · NPI-1

Kevin S Chadburn, ARNP

Nurse Anesthetist, Certified Registered · Ogden, UT

NPI number1295149235

StatusActive

Last updated in NPPESApr 12, 2023

Details

NPI: 1295149235
Entity type: Individual (NPI-1)
Name: Kevin S Chadburn
Credential: ARNP
Sex: Male
Sole proprietor: No
Enumeration date: Jun 18, 2014
Certification date: Apr 12, 2023
Last updated: Apr 12, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
367500000X	Nurse Anesthetist, Certified Registered	70000525-8901	UT	Yes
367500000X	Nurse Anesthetist, Certified Registered	9303569	FL
367500000X	Nurse Anesthetist, Certified Registered	AP60506972	WA

Practice location

5475 S 500 E
Ogden, UT 84405-6905

Phone 800-880-3566 · Fax 801-432-2670

Mailing address

406 S 30th Ave
Ste 202
Yakima, WA 98902-3713

Phone 509-972-1051 · Fax 509-972-4166

Other practice locations

5782 Adams Ave Pkwy
Ogden, UT 84405-6947

Phone 800-880-3566 · Fax 801-432-2670

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