IndividualActive
Kiley Anderson, R.T.(R)(N)(VI) CNMT
NPI 1952780728 · Vascular-Interventional Technology Radiologic Technologist · Salt Lake City, UT
Provider details
- NPI number
- 1952780728
- Entity type
- Individual
- Primary specialty
- Vascular-Interventional Technology Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- R.T.(R)(N)(VI) CNMT
- Sex
- Male
- Sole proprietor
- No
- License
- 7906934-5401 (UT)
Specialties & taxonomies
- Vascular-Interventional Technology Radiologic TechnologistPrimary2471V0106XLicense 7906934-5401 (UT)
Technologists, Technicians & Other Technical Service Providers
Practice location
439 Bryan Avenue
Salt Lake City, UT 84115
Phone: (740) 350-6281
Approximate (ZIP-level) locationGet directions
Mailing address
439 E Bryan Ave
Salt Lake City, UT 84115-1713
Registry dates
- Enumerated
- 2015-05-26
- Last updated
- 2015-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.