Kenneth Michael Jorgensen MD

NPI 1083648026 - Emergency Medicine - 207PE0004X

NPI Details
NPI 1083648026
Gender Male
Enumeration Date 07/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9660 S 1300 E
SANDY UT, 84094-3762, US
Phone (801) 269-2696
Fax (801) 269-2690
Business Location
PO BOX 30180
SALT LAKE CITY UT, 84130-0180, US
Phone (801) 269-2696
Fax (801) 269-2690
Taxonomy Code 207PE0004X
License State Utah
License Number 339837-1205
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According to our database, Kenneth Michael Jorgensen MD NPI is 1083648026, taxonomy code is 207PE0004X and license number is 339837-1205, license state is located at Utah. Kenneth Michael Jorgensen MD physically located at 9660 S 1300 E, Sandy UT, 84094-3762. NPI Number Kenneth Michael Jorgensen MD has the Individual type.

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1083648026 NPI number is provided on an as is basis without warranty of any kind. 1083648026 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Michael Jorgensen MD are for informational purposes only.