Individual
KIMBERLY ALICIA JENSON-BAGULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7497 N ADDISON AVE, EAGLE MOUNTAIN, UT 84005-6030
(801) 691-3403
Mailing address
7497 N ADDISON AVE, EAGLE MOUNTAIN, UT 84005-6030
(801) 691-3403
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-320119
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
02/13/2026
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