Individual
KIMBERLY ANNE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11034411-4901
UT
Other
Enumeration date
04/25/2018
Last updated
01/14/2025
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