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 11 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.

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.