MARK D KIRKHAM MD

TANNER MEMORIAL CLINIC

Dr MARK D KIRKHAM MD is a male medical professional, specializing in Family Medicine. He graduated in 1985 from University Of Utah School Of Medicine.

Contact

TANNER MEMORIAL CLINIC

380 N 400
TANNER CLINIC
KAYSVILLE
UT
840373135

Tel: 8017734840

MARK D KIRKHAM MD Information

Npi 1689650459
Pac Id 3072532324
Professional Enrollment Id I20051115001111
Last Name KIRKHAM
First Name MARK
Middle Name D
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1 GENERAL PRACTICE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties GENERAL PRACTICE
Organization Legal Name TANNER MEMORIAL CLINIC
Group Practice Pac Id 4284547985
Number Of Group Practice Members 142
Line 1 Street Address 380 N 400
Line 2 Street Address TANNER CLINIC
Marker Of Address Line 2 Suppression
City KAYSVILLE
State UT
Zip Code 840373135
Phone Number 8017734840
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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