Individual
KIMBERLY VANSWEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 GARLAND WAY, HILL AFB, UT 84056-5700
(801) 777-3075
Mailing address
7525 GARLAND WAY BLDG 928, HILL AFB, UT 84056-5700
(801) 777-3075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10199528-3501
UT
1041C0700X
Clinical Social Worker
Primary
10199528-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
09/01/2015
Last updated
03/06/2026
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