# KENT B MCDONALD M.D PERFFESIONAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881862076
- **Authorized official:** KENT B MCDONALD M.D. (OWNER)
- **Authorized official phone:** (435) 628-2814

## Contact information

- **Practice address:** 515 S 300 E, SUITE 105, SAINT GEORGE, UT 84770-3900
- **Practice address phone:** (435) 628-2814
- **Practice address fax:** (435) 674-7112
- **Mailing address:** 515 S 300 E, SUITE 105, SAINT GEORGE, UT 84770-3900
- **Mailing address phone:** (435) 628-2814
- **Mailing address fax:** (435) 674-7112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 06469 | UT | Yes |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 07/08/2013