NPI 1083648026

Kenneth Michael Jorgensen, MD

Practitioner Emergency Medical Services (Emergency Medicine) Physician Sandy, UT

Practice location

Address: 9660 S 1300 E, Sandy, UT 84094-3762
Phone: (801) 269-2696
Fax: (801) 269-2690
Mailing address: PO Box 30180, Salt Lake City, UT 84130-0180

Registered specialties

Emergency Medical Services (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 339837-1205 (UT)

Other Emergency Medicine providers in Utah →

Registry record

NPI: 1083648026
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.