Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellen Tage Hansen, DO

Individual provider Emergency Medicine Physician · NPI 1396007316

Kellen Tage Hansen, DO is a Family Practice in Lehi, Utah. Qualified in 2012, 14 years ago. Practices with Caribou Medical Center, Inc, a 34-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Indiana and Utah.

Years since qualifying
14
Licensed in
IN, UT
In the registry since
2012
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3401 N Center St Ste 100
Lehi, UT 84043
Phone: (801) 753-7770
Fax: (801) 753-7775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 205 N Tillotson Ave, Muncie, IN 47304-3900 — (765) 288-1928
  • 12473 S Minuteman Dr, Draper, UT 84020-7870 — (801) 495-7970
  • 12473 S Minuteman Dr, Draper, UT 84020-7870 — (801) 495-7970
  • 3943 E Pony Express Pkwy Ste 210, Eagle Mountain, UT 84005-5544 — (801) 789-3030

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 10266619-1204 (UT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 02004307A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 10266619-1204 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 02004307A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IN)

Record details

NPI number1396007316
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2012
Last updated in NPPESNovember 21, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Caribou Medical Center, Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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