NPI 1184072902 · live from the CMS NPI Registry
Andrew Kenneth Ence, M.D.
Plastic Surgery, Surgery of the Hand in St George, UT. National Provider Identifier 1184072902, active.
NPI record
| NPI | 1184072902 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Plastic Surgery, Surgery of the Hand 2082S0105X |
| Practice location | 2825 E Mall Dr, St George, UT 84790 |
| Practice phone | 435-628-9393 |
| Mailing address | 1055 N 500 W, Attn Credentialing, Provo, UT 84604 |
| Enumerated | June 2, 2016 |
| Last updated | March 25, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | MMD.39395 LL (SC) |
| Orthopaedic Surgery | 207X00000X | 0116034959 (VA) |
| Orthopaedic Surgery | 207X00000X | 12699267-1205 (UT) |
| Plastic Surgery, Surgery of the Hand primary | 2082S0105X | 12699267-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.