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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Popular Providers
-
Tapahe, Sharon J
1034 N 500 W , Provo UT 84604-3380 -
Crockett, Mindy
395 W Bulldog Blvd , Provo UT 84604-3311 -
Mcclellan, Peggy J
1034 N 500 W , Provo UT 84604-3380 -
Yorgason, Holly
1034 N 500 W , Provo UT 84604-3380 -
Christensen, Jennifer L
1034 N 500 W , Provo UT 84604-3380 -
Cushing, Rebecca E.
1055 N 500 W Suite 122, Provo UT 84604-3305 -
Gearheart, Donelle
1034 N 500 W , Provo UT 84604-3380 -
Smith, Janette L
1034 N 500 W , Provo UT 84604-3380