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NPI Code Detail

MEDICARE: MICHAEL AARON KAGEN M.D.

MEDICARE:   MICHAEL AARON KAGEN  M.D.
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
1207R00000XInternal Medicine Physician10137232-1205UT

General Provider Information

NPI Number : 1528352721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL AARON KAGEN M.D.
Provider Business Mailing Address
First Line : 4580 SILVER SPRINGS DR STE 150
Second Line :
City : PARK CITY
State : UT
Zip : 84098-6198
Country : US
Telephone Number : 435-633-6263
Fax Number : 435-659-2553
Provider Business Practice Location Address
First Line : 4580 SILVER SPRINGS DR STE 150
Second Line :
City : PARK CITY
State : UT
Zip : 84098-6198
Country : US
Telephone Number : 435-633-6263
Fax Number : 435-659-2553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2011
Last Update Date : 02/05/2018

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Directions to “ MICHAEL AARON KAGEN M.D.” Practice Location

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