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
Mailing address3401 N Center St Ste 100, Lehi, UT 84043-7498

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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