Provider Demographics
NPI:1649248683
Name:NABERS, KENT E (PHD)
Entity type:Individual
Prefix:DR
First Name:KENT
Middle Name:E
Last Name:NABERS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 NORTH MAIN STREET
Mailing Address - Street 2:SUITE D #137
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84037-1424
Mailing Address - Country:US
Mailing Address - Phone:801-476-6916
Mailing Address - Fax:801-476-6990
Practice Address - Street 1:265 NORTH MAIN STREET
Practice Address - Street 2:SUITE D #137
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-1424
Practice Address - Country:US
Practice Address - Phone:801-476-6916
Practice Address - Fax:801-476-6990
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3083825-2501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTP09901Medicare UPIN