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Individual

J KENT THORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1160 E 3900 S, #3500, SALT LAKE CITY, UT 84124-1202
(801) 743-4750
(801) 743-4765
Mailing address
1160 E 3900 S, #3500, SALT LAKE CITY, UT 84124-1202
(801) 743-4750
(801) 743-4765

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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