Individual
KIMBERLY BETH STOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5700
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10105424-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/08/2015
Last updated
11/23/2021
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