Individual
KURT KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 N 200 E, LOGAN, UT 84321-4038
(435) 713-2710
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 713-2710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
177045-1205
UT
Other
Enumeration date
10/02/2005
Last updated
09/05/2017
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