Coburn, Kendell Porter

Coburn, Kendell Porter is an individual health care provider with primary practice located at 390 N Main St , Bountiful UT 84010-6046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Coburn, Kendell Porter can be contacted via phone (801) 397-6300.

Contact Information

Primary practice address
390 N Main St Bountiful UT 84010-6046
Phone: (801) 397-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MED-RES-LIC-77254 Montana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12813168-1204 Utah

Profile Details

NPI number 1902365216
LBN Legal business name Coburn, Kendell Porter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2019
Last updated Jul 20th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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