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Search › Utah › 207P00000X

Kirby Green, MD

NPI 1619909744 · on the registry since 2006

Practice

Address
2290 South 1300 East
Medical Marts
Salt Lake City, UT 84106
Phone
(801) 474-0800
Fax
(810) 467-1126
Organisation at this address
Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207R00000X
Licence states on file
LA, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-11-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah