Individual
BONNIE KILGANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 ROBINS DR, LAYTON, UT 84041-1140
(801) 773-7060
Mailing address
PO BOX 689, FARMINGTON, UT 84025-0689
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
208361-4405
UT
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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