KENNETH MICHAEL JORGENSEN

SANDY, UT
NPI1083648026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: UT  339837-1205)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
-- KENNETH MICHAEL JORGENSEN MD
9660 S 1300 E
SANDY, UT 84094-3762
Phone number: 801-269-2696
Mailing Address
-- KENNETH MICHAEL JORGENSEN MD
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-269-2696
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