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

Kevin Tyan

Individual provider Physician Assistant · NPI 1740862887

Kevin Tyan is a Physician Assistant in Salt Lake City, Utah. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

375 S Chipeta Way
Salt Lake City, UT 84108-1260
Phone: (801) 581-7766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 63237 (CA)

Record details

NPI number1740862887
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2021
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients56
Services billed 73 a service is one billed item, such as a visit, a test or a procedure
Average patient age65

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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