Kenneth Michael Jorgensen
Emergency Medical Services
9660 S 1300 E
Sandy
, Utah 84094-3762
Kenneth Michael Jorgensen
Emergency Medical Services
9660 S 1300 E
Sandy
, Utah 84094-3762
(801) 269-2690
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Kenneth Michael Jorgensen
- Po Box 30180
- Salt Lake City, UT
- Zip : 84130-0180
- Fax : (801) 269-2690
- Phone : (801) 269-2696
Second Address
- Kenneth Michael Jorgensen
- 9660 S 1300 E
- Sandy, UT
- Zip : 84094-3762
- Fax : (801) 269-2690
- Phone : (801) 269-2696
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 339837-1205 | UT |
National Provider Identifier
| NPI | 1083648026 |
|---|---|
| Provider Name | Kenneth Michael Jorgensen |
| First Address | Salt Lake City, UT 84130-0180 |
| Second Address | Sandy, UT 84094-3762 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G49668 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.