Individual provider · Type 1 NPI

Kent Christian Fairbourn

Other Technician · St. George, UT

NPI number 1891002069 Active

Practice location

474 W 200 N
St. George, UT 84770-4505

Mailing address

1901 E 10 North Cir
St. George, UT 84790-1585

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1891002069

Kent Christian Fairbourn's National Provider Identifier is 1891002069, issued on Sep 8, 2010. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in St. George, UT. The record was last updated on Sep 8, 2010.