MEDICARE: LANGLEY L KUSHMAN PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	363AS0400X	Surgical Physician Assistant	9316490-1206	UT

General Provider Information

NPI Number	:	1831475748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANGLEY L KUSHMAN PA

Provider Business Mailing Address
First Line	:	127 S 500 E
Second Line	:	SUITE 600
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1959
Country	:	US
Telephone Number	:	801-587-6336
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 N MEDICAL DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-5901
Country	:	US
Telephone Number	:	801-587-6336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2011
Last Update Date	:	12/20/2021

Similar Medicare Providers

1093749657 — DR. JOHN EDWARD GREENLEE M.D.
Practice Location Address:

CLINICAL NEUROSCIENCE CTR FL 5 , 175 N MEDICAL DRIVE E.
SALT LAKE CITY, UT
84132-5901

Practice Phone: 801-585-2915
Practice Fax: 801-581-4192

1497969943 — DR. NICHOLAS E JOHNSON MD
Practice Location Address:

175 N MEDICAL DR E
SALT LAKE CITY, UT
84132-5901

Practice Phone: 801-585-7575
Practice Fax:

1063608750 — DR. KATHRYN ELIZABETH MYERS PHARMD
Practice Location Address:

50 N MEDICAL DR , A050
SALT LAKE CITY, UT
84132-5901

Practice Phone: 801-585-9236
Practice Fax:

1215295365 — DR. MUHAMMAD AHMED NABEEL CHAUHAN M.D.
Practice Location Address:

175 N MEDICAL DR E
SALT LAKE CITY, UT
84132-5901

Practice Phone: 801-587-9935
Practice Fax:

1659628394 — UNIVERSITY OF UTAH NEURO CRITICAL CARE
Practice Location Address:

175 N MEDICAL DR
SALT LAKE CITY, UT
84132-5901

Practice Phone: 801-585-7575
Practice Fax:

1336496074 — UNIVERSITY OF UTAH NEUROMUSCULAR
Practice Location Address:

175 N MEDICAL DRIVE
SALT LAKE CITY, UT
84132-5901

Practice Phone: 801-585-7575
Practice Fax:

Directions to “ LANGLEY L KUSHMAN PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.