Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MCKENNAN J. THURSTON, MD
ActiveMCKENNAN J. THURSTON, MD is a Sports Medicine healthcare provider located in MORGAN, Utah. NPI 1194088856 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · MORGAN, UT
Registration Details
- NPI Number
- 1194088856
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2012 (14.009926279364 yrs)
- Last Updated
- Apr 17, 2024
- Licenses
-
56747 (MN)9817986-1205 (UT)
Practice Information
- Address
-
4166 SUMMER RIDGE RDMORGAN, UT, 840509344Browse UT providers · Browse ZIP 84050
- Phone
- 8018093766
- Fax
- 8015160639
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.