Provider Demographics
NPI:1528352721
Name:KAGEN, MICHAEL AARON (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:AARON
Last Name:KAGEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4580 SILVER SPRINGS DR STE 150
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-6198
Mailing Address - Country:US
Mailing Address - Phone:435-633-6263
Mailing Address - Fax:435-659-2553
Practice Address - Street 1:4580 SILVER SPRINGS DR STE 150
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-6198
Practice Address - Country:US
Practice Address - Phone:435-633-6263
Practice Address - Fax:435-659-2553
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2018-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT10137232-1205207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine