IndividualActive
Mckennan Thurston, MD
NPI 1194088856 · Sports Medicine (Family Medicine) Physician · Morgan, UT
Provider details
- NPI number
- 1194088856
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 56747 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4166 Summer Ridge Rd
Morgan, UT 84050-9344
Phone: (801) 809-3766
Fax: (801) 516-0639
Approximate (ZIP-level) locationGet directions
Mailing address
4166 Summer Ridge Rd
Morgan, UT 84050-9344
Registry dates
- Enumerated
- 2012-06-19
- Last updated
- 2024-04-17
- Certified
- 2024-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.