NPI Details
Kendell Porter Coburn, DO is an internal medicine in Ogden, UT with 7 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Kendell Porter Coburn, DO NPI is 1902365216. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:2019
The provider's business location address is:
425 E 5350 S STE 103
OGDEN, UT
ZIP 84405-901
Phone: (385) 298-0818
Fax: (801) 205-4354
The NPI 1902365216 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Removal of impacted ear wax (HCPCS:69210)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Urinalysis, manual test (HCPCS:81002)
- Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
The enumeration date for this NPI number is 3/16/2019 and was last updated on 6/29/2022.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | MED-RES-LIC-77254 | MONTANA | No |
| 2 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 3 | 207R00000X | Internal Medicine | | 12813168-1204 | UTAH | Yes |
