Individual
KIMBERLY PASSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 N STATE STREET, OREM, UT 84057-8255
(801) 224-8255
(801) 224-8301
Mailing address
1790 N STATE STREET, OREM, UT 84057-8255
(801) 224-8255
(801) 224-8301
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
58811134901
UT
Other
Enumeration date
11/25/2006
Last updated
07/08/2007
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