Individual
KIMBERLY RASHELLE WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1600 W ANTELOPE DR, LAYTON, UT 84041-1142
(801) 807-1000
Mailing address
771 E OXFORD DR, KAYSVILLE, UT 84037-1323
(814) 404-7377
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
7006440-4405
UT
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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