Healthcare Provider Details

I. General information

NPI: 1154269181
Provider Name (Legal Business Name): CARE SURGICAL ANESTHESIA UTAH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 E 5600 S STE 104
SALT LAKE CITY UT
84107-8140
US

IV. Provider business mailing address

151 E 5600 S STE 100
SALT LAKE CITY UT
84107-8139
US

V. Phone/Fax

Practice location:
  • Phone: 801-833-0515
  • Fax: 801-452-6748
Mailing address:
  • Phone: 801-833-0515
  • Fax: 801-452-6748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number
License Number State

VIII. Authorized Official

Name: BRANDON KEHL
Title or Position: MANAGING MEMBER
Credential:
Phone: 801-833-0474