Individual
KIMBALL BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
88 E 700 N STE A, TOOELE, UT 84074-1818
(435) 882-6452
Mailing address
88 E 700 N STE A, TOOELE, UT 84074-1818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14292719-9934
UT
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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