Individual
KIMBERLY ANN GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 W GORDON AVE STE 2, LAYTON, UT 84041-2381
(801) 683-1062
Mailing address
862 S MAIN ST, BRIGHAM CITY, UT 84302-3320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
UT
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
11/21/2023
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