Individual
NATALIE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1055 N 300 W STE 400, PROVO, UT 84604-3359
(801) 357-7404
(801) 357-7587
Mailing address
1055 N 300 W STE 400, PROVO, UT 84604-3359
(801) 655-4844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12403739-4405
UT
363LF0000X
Family Nurse Practitioner
95004385
CA
Other
Enumeration date
08/08/2016
Last updated
05/10/2023
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