Sycamore, Kimi Jo

Sycamore, Kimi Jo is an individual health care provider with primary practice located at 1055 N 500 W Ste 122, Provo UT 84604-3305. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Sycamore, Kimi Jo can be contacted via phone (801) 812-5400.

Contact Information

Primary practice address
1055 N 500 W Ste 122 Provo UT 84604-3305
Phone: (801) 812-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 7979843-4901 Utah

Profile Details

NPI number 1679978696
LBN Legal business name Sycamore, Kimi Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2014
Last updated Nov 3rd, 2014 - about 12 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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