| Doctor Name: | KENNETH R PINNA |
| NPI Number: | 1568423879 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 541616501205 |
| Business Practice Address: | 515 S 300 E, Ste 101 Saint George, UT - 847703900 |
| Business Phone Number: | 4356881128 |
| Business Fax Number: | 4356734045 |
| Mailing Address: | 515 S 300 E Ste 101, SAINT GEORGE |
| State: | UT |
| Postal Code: | 847703931 |
| Phone Number: | 4356881128 |
| Fax Number: | 4356734045 |
| NPI Enumeration Date: | 03/28/2006 |
| NPI Last Update Date: | 04/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 541616501205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |