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Individual
J KENT THORNE
Active
Individual
J KENT THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
164516-8905
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06286
—
UT
01
—
164516-8905
MEDICAL LICENSE
UT
01
—
P00424169
RR MEDICARE
UT
Enumeration date
09/09/2005
Last updated
02/08/2022
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