Individual
KIMBERLY POHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2400 N WASHINGTON BLVD, NORTH OGDEN, UT 84414-7233
(801) 786-7500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 786-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12422287-1206
UT
363AM0700X
Medical Physician Assistant
152511
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q53565
UPIN
OR
Enumeration date
11/15/2005
Last updated
04/25/2022
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