MEDICARE: MR. SHANE MERWIN KJAR P.A.

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	3757931206	UT

General Provider Information

NPI Number	:	1013932342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SHANE MERWIN KJAR P.A.

Provider Business Mailing Address
First Line	:	324 10TH AVE STE 154
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-2876
Country	:	US
Telephone Number	:	801-408-8666
Fax Number	:	801-322-0567

Provider Business Practice Location Address
First Line	:	324 10TH AVE STE 154
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-2876
Country	:	US
Telephone Number	:	801-408-8666
Fax Number	:	801-322-0567

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	02/19/2008

Similar Medicare Providers

1710910252 — MS. LORI DECKER P.A.
Practice Location Address:

324 10TH AVE STE 154
SALT LAKE CITY, UT
84103-2876

Practice Phone: 801-408-8666
Practice Fax: 801-322-0567

1265686281 — PHILLIP EGBERT WILSON M.D., PH.D.
Practice Location Address:

324 10TH AVE STE 154
SALT LAKE CITY, UT
84103-2876

Practice Phone: 801-408-8500
Practice Fax:

1477546216 — DR DOUGLAS R DAVIS PC
Practice Location Address:

1770 E FORT UNION BLVD , SUITE 101
SALT LAKE CITY, UT
84121-2876

Practice Phone: 801-942-0069
Practice Fax: 801-942-2809

1457563405 — DR. STANFORD HAMMOND DURRANT DMD
Practice Location Address:

1770 FORT UNION BLVD , SUITE #200
SALT LAKE CITY, UT
84121-2876

Practice Phone: 801-942-1400
Practice Fax: 801-943-1951

1407039829 — DR. DOUGLAS RAY DAVIS D.C.
Practice Location Address:

1770 E FORT UNION BLVD , SUITE 101
SALT LAKE CITY, UT
84121-2876

Practice Phone: 801-942-0069
Practice Fax: 801-942-2809

1578686069 — JOYCE BARR
Practice Location Address:

1309 N STILES AVE , APT. 9C
OKLAHOMA CITY, OK
73104-2876

Practice Phone: 405-243-3579
Practice Fax:

Directions to “ MR. SHANE MERWIN KJAR P.A.” 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 © 2007-2025 (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.