Individual provider · Type 1 NPI

Kendell Porter Coburn, DO

Internal Medicine Physician · Bountiful, UT

NPI number 1902365216 Active

Practice location

390 N Main St
Bountiful, UT 84010-6046

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 425 E 5350 S Ste 103, Ogden, UT 84405-6901 · (385) 298-0818

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XMED-RES-LIC-77254 (MT)
Internal Medicine Physician Primary 207R00000X12813168-1204 (UT)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

55 other providers at this address

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About NPI 1902365216

Kendell Porter Coburn, DO's National Provider Identifier is 1902365216, issued on Mar 16, 2019. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Bountiful, UT. The record was last updated on Jul 20, 2026.