Individual provider · Type 1 NPI

Langley L. Kushman, PA

Surgical Physician Assistant · Salt Lake City, UT

NPI number 1831475748 Active

Practice location

175 N Medical Dr
Salt Lake City, UT 84132-5901

Call (801) 587-6336 Map

Mailing address

127 S 500 E, Suite 600
Salt Lake City, UT 84102-1959

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X9316490-1206 (UT)

Surgical Physician Assistant: Definition to come...

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About NPI 1831475748

Langley L. Kushman, PA's National Provider Identifier is 1831475748, issued on Oct 25, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 20, 2021.