Individual
KIMMY KYUNG KWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 616-8068
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 616-8068
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
4903959-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4903959-4405
UT
Other
Enumeration date
07/01/2020
Last updated
12/09/2025
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