Individual
KEVIN L KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 NORTH 530 EAST, OREM, UT 84097
(801) 687-9509
Mailing address
2602 W 11625 S, RIVERTON, UT 84095-7934
(801) 509-4209
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11552306-2501
UT
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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