Individual
KIMBERLY RENEE BLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12473 S MINUTEMAN DR, DRAPER, UT 84020-7870
(801) 495-7900
(801) 495-7990
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 495-7900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8017977-1206
UT
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
06/10/2026
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