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Contact Information

KC HAFEN, PA
652 SOUTH MEDICAL CENTER DRIVE
SUITE 400
SAINT GEORGE, UT84790
 Phone: 435-251-2650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KC HAFEN · (Male)

NPI # 1194740522
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/13/2006
Last updated 10/07/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 2849081206
Hospital affiliation(s)
  • DIXIE REGIONAL MEDICAL CENTER - (Acute Care)
    1380 EAST MEDICAL CENTER DRIVE
    ST GEORGE, UT 84790
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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