Individual
KIMBERLY RENEE BLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5506 W TOWN CENTER PKWY, HIGHLAND, UT 84003-2880
(801) 602-8689
Mailing address
5506 W TOWN CENTER PKWY, HIGHLAND, UT 84003-2880
(801) 602-8689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
12/17/2019
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