IndividualActive
Kirby Green, MD
NPI 1619909744 · Emergency Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1619909744
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 014738 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2290 South 1300 East
Medical Marts
Salt Lake City, UT 84106-2831
Phone: (801) 474-0800
Fax: (810) 467-1126
Street-level locationGet directions
Mailing address
2290 S 1300 E
Salt Lake City, UT 84106-2831
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2007-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.