Mckinnon, Kim Marie

Mckinnon, Kim Marie is an individual health care provider with primary practice located at 45 W Sego Lily Dr Ste 312 , Sandy UT 84070-3643. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mckinnon, Kim Marie can be contacted via phone (801) 676-9452.

Contact Information

Primary practice address
45 W Sego Lily Dr Ste 312 Sandy UT 84070-3643
Phone: (801) 676-9452
Fax: (801) 206-9734
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 294366-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 294366-8900 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 294366-8900 Utah

Profile Details

NPI number 1003302548
LBN Legal business name Mckinnon, Kim Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2018
Last updated Jan 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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