Individual
KIMBALL HAFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 E MEDICAL CENTER DR, SAINT GEORGE, UT 84790-2123
(435) 251-2500
(435) 656-4907
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8659483-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
8659483-4405
UT
Other
Enumeration date
06/29/2023
Last updated
11/02/2023
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