Individual
DR. KENNETH JUSTIN NOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5444 GREEN ST, MURRAY, UT 84123-5632
(801) 262-8120
(801) 262-3897
Mailing address
5444 GREEN ST, MURRAY, UT 84123-5632
(801) 262-8120
(801) 262-3897
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
378881-1205
UT
2085R0202X
Diagnostic Radiology Physician
M-10258
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4925
—
UT
Enumeration date
05/08/2006
Last updated
09/04/2012
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