IndividualActive
Kevin Jansen, M.D.
NPI 1013908995 · Nephrology Physician · South Salt Lake, UT
Provider details
- NPI number
- 1013908995
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 6555293-1205 (UT)
Practice location
3702 S State St Ste 107
South Salt Lake, UT 84115-5096
Phone: (801) 288-2634
Fax: (801) 288-1186
Mailing address
3702 S State St Ste 107
South Salt Lake, UT 84115-5096
Registry dates
- Enumerated
- 2005-10-31
- Last updated
- 2024-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.