IndividualActive
Kennon Tubbs, MD
NPI 1700842804 · Family Medicine Physician · West Valley City, UT
Provider details
- NPI number
- 1700842804
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 344132-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2965 W 3500 S
West Valley City, UT 84119-3602
Phone: (801) 965-3600
Street-level locationGet directions
Mailing address
7181 S Campus View Dr Ste 200
West Jordan, UT 84084-4312
Additional practice locations (1)
- 13584 S Carolina Hill CtDraper, UT 84020-7726Phone: (801) 502-3473Fax: (801) 501-9573
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2023-05-16
- Certified
- 2023-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.