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Contact Information

LEE G KENNARD, MD
1034 N 500 W
PROVO, UT84604
 Phone: 801-993-9582
 Fax: 801-733-5618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for LEE G KENNARD · (Male)

NPI # 1922193457
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 164604-1205
  • AZ Medicaid 944422
  • UT Other QM0000075886 ALTIUS
  • UT Other 35865 DESERET MUTUAL
  • UT Other 870545614KE1 EDUCATORS MUTUAL
  • UT Other 107006657101 IHC
  • UT Other PRA01827 MOLINA
  • UT Other 37800 PEHP
  • UT Other 1502954 UMWA
  • UT Other 2090168 UNITED HEALTHCARE
  • UT Other 8597445 WORKERS COMP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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