Individual
MS. SHANNON B. MCKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
375 S CHIPETA WAY RM 201, SALT LAKE CITY, UT 84108-1260
(801) 581-2121
Mailing address
375 S CHIPETA WAY RM 201, SALT LAKE CITY, UT 84108-1260
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14174930-1204
UT
Other
Enumeration date
03/27/2023
Last updated
09/27/2024
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