Kenneth G Nielson MD

NPI 1063404929 - Internal Medicine - 207RC0000X

NPI Details
NPI 1063404929
Gender Male
Enumeration Date 08/17/2005
Last Updated 10/30/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1160 E 3900 S
STE 2000
SALT LAKE CITY UT, 84124-1202, US
Phone (801) 266-3418
Fax (801) 288-4444
Business Location
1160 E 3900 S
STE 2000
SALT LAKE CITY UT, 84124-1202, US
Phone (801) 266-3418
Fax (801) 288-4444
Toxanomy
Taxonomy Code 207RC0000X
License State Utah
License Number 183758-1205
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According to our database, Kenneth G Nielson MD NPI is 1063404929, taxonomy code is 207RC0000X and license number is 183758-1205, license state is located at Utah. Kenneth G Nielson MD physically located at 1160 E 3900 S, Salt Lake City UT, 84124-1202. NPI Number Kenneth G Nielson MD has the Individual type.

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1063404929 NPI number is provided on an as is basis without warranty of any kind. 1063404929 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth G Nielson MD are for informational purposes only.