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NPISignal

Individual Healthcare Provider

Kellen Tage Hansen, D.O.

NPI Record: ActiveFamily Medicine — Sports Medicine
NPI1396007316
Lehi, Utah

Provider's NPPES record last updated: November 21, 2019

Overview

Entity Type
Individual Healthcare Provider
NPI
1396007316
Primary Specialty
Family Medicine — Sports Medicine
Practice Location
Lehi, Utah
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:29 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Sports Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

    Taxonomy code 207QS0010X
  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Family Medicine

    Allopathic & Osteopathic Physicians

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Family Medicine (Utah)
10266619-1204
Emergency Medicine (Indiana)
02004307A
Family Medicine (Utah)
10266619-1204
Family Medicine (Indiana)
02004307A
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3401 N Center St Ste 100

Lehi, Utah 84043

Phone: (801) 753-7770

Additional Practice Location

205 N Tillotson Ave

Muncie, Indiana 47304-3900

Phone: (765) 288-1928

Fax: (765) 741-0335

Additional Practice Location

12473 S Minuteman Dr

Draper, Utah 84020-7870

Phone: (801) 495-7970

Fax: (801) 495-7990

Additional Practice Location

12473 S Minuteman Dr

Draper, Utah 84020-7870

Phone: (801) 495-7970

Fax: (801) 495-7990

Additional Practice Location

3943 E Pony Express Pkwy Ste 210

Eagle Mountain, Utah 84005-5544

Phone: (801) 789-3030

Fax: (801) 789-3039

Record Information

Enumeration Date
June 14, 2012
Provider's NPPES Record Last Updated
November 21, 2019
NPISignal NPPES Dataset
August 2026

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