Individual provider · Type 1 NPI

Kenneth Michael Jorgensen, MD

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

NPI number 1083648026 Active

Practice location

9660 S 1300 E
Sandy, UT 84094-3762

Call (801) 269-2696 Map

Fax (801) 269-2690

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X339837-1205 (UT)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1083648026

Kenneth Michael Jorgensen, MD's National Provider Identifier is 1083648026, issued on Jul 10, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Sandy, UT. The record was last updated on Jul 8, 2007.