MEDICARE: CARE SURGICAL ANESTHESIA UTAH LLC

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	1223D0004X	Dental Anesthesiology

General Provider Information

NPI Number	:	1154269181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE SURGICAL ANESTHESIA UTAH LLC

Provider Business Mailing Address
First Line	:	151 E 5600 S STE 100
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-8139
Country	:	US
Telephone Number	:	801-833-0515
Fax Number	:	801-452-6748

Provider Business Practice Location Address
First Line	:	151 E 5600 S STE 104
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-8140
Country	:	US
Telephone Number	:	801-833-0515
Fax Number	:	801-452-6748

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	BRANDON KEHL
Credential	:
Telephone Number	:	801-833-0474

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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