Van Wagoner, Kimber Tracy
Van Wagoner, Kimber Tracy is an individual health care provider with primary practice located at 1020 S Main St , Salt Lake City UT 84101-3176. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Van Wagoner, Kimber Tracy can be contacted via phone (801) 539-7000.Contact Information
Primary practice address
1020 S Main St
Salt Lake City UT 84101-3176
Phone: (801) 539-7000
Fax: (801) 539-7050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 03081433102 | Utah |
Profile Details
| NPI number | 1801866512 |
|---|---|
| LBN Legal business name | Van Wagoner, Kimber Tracy |
| Credentials | B.A., R.N. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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