Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendell Porter Coburn, DO

Individual provider Internal Medicine Physician · NPI 1902365216

Kendell Porter Coburn, DO is an Internal Medicine in Bountiful, Utah. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2019, 7 years ago. Practices with Joshua Oaks MD PLLC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana and Utah.

Years since qualifying
7
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MT, UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

390 N Main St
Bountiful, UT 84010-6046
Phone: (801) 397-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 425 E 5350 S Ste 103, Ogden, UT 84405-6901 — (385) 298-0818

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12813168-1204 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence MED-RES-LIC-77254 (MT)

Record details

NPI number1902365216
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 16, 2019
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2019 (7 years in practice)
Group practice Joshua Oaks Md Pllc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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