Ross, Kimberly M

Ross, Kimberly M is an individual health care provider with primary practice located at 590 S Wakara Way , Salt Lake City UT 84108-1200. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Ross, Kimberly M can be contacted via phone (801) 587-7001.

Contact Information

Primary practice address
590 S Wakara Way Salt Lake City UT 84108-1200
Phone: (801) 587-7001
Fax: (801) 581-4110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 375157-4201 Utah
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 375157-4201 Utah

Profile Details

NPI number 1174524862
LBN Legal business name Ross, Kimberly M
Credentials OTR L,CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jun 9th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174524862 NPPES
Utah Other 68950 PEHP
Utah Other 5417 PEHP
Utah Other P00183940 PEHP
Utah Other 1108540001 PEHP
Utah Other 6826064002 PEHP
Utah Other 870388269BR1 PEHP
Utah Other 99375157403001 PEHP

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