Individual
KIMBERLY MILLER SHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
750 W 800 N, OREM, UT 84057-3660
(801) 714-6000
Mailing address
9896 N 5800 W, HIGHLAND, UT 84003-9178
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
6161150-3102
UT
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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