person
Kent Blad, FNP
Pediatric Nurse Practitioner in Provo, Utah
NPI 1336219906

Kent Blad is a Pediatric Nurse Practitioner based in Provo, UT and is specialized in Pediatrics. Kent Blad practices in Provo, UT and has the professional credentials of FNP. The NPI Number for Kent Blad is 1336219906 and holds a License No. 217117-4405 (Utah).

The current practice location address for Kent Blad is 1675 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-377-8000 and via fax at 801-377-8001.

Location: 1675 N Freedom Blvd, Provo, UT, 84604-2540
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Provider Profile Details
NPI Number
1336219906
Provider Name
Kent Blad
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1675 N Freedom Blvd, Provo, UT, 84604-2540
Phone Number
801-377-8000
Fax Number
801-377-8001
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D2731 05 UT
institution
Provider Business Practice Location Address Details
Address
1675 N Freedom Blvd
City
State
Zip
84604-2540
Phone Number
801-377-8000
Fax Number
801-377-8001
person
Provider Business Mailing Address Details
Address
1675 N Freedom Blvd
City
State
Zip
84604-2540
Phone Number
801-377-8000
Fax Number
801-377-8001
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
217117-4405 (Utah)
Definition
Definition to come...
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