DR. Kyle Blake Fordham, MD

NPI #1972244929 in Provo, Utah

Provider Information

NPI Number: 1972244929
Entity Type: Individual
Name: DR. Kyle Blake Fordham, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Hospitalist
Credential: MD
Enumeration Date: Apr 5, 2022
Last Updated: Jan 8, 2026

Practice Location

Address: 1034 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3380
Phone: (801) 357-8310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Hospitalist	208M00000X	Primary

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