Coburn, Kendell Porter

Coburn, Kendell Porter is an individual health care provider with primary practice located at 425 E 5350 S Ste 103 , Ogden UT 84405-6901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Coburn, Kendell Porter can be contacted via phone (385) 298-0818.

Contact Information

Primary practice address
425 E 5350 S Ste 103 Ogden UT 84405-6901
Phone: (385) 298-0818
Fax: (801) 205-4354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MED-RES-LIC-77254 Montana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
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 Jun 29th, 2022 - about 4 years 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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