Individual
MRS. KIMBERLY ANN HENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3750 DIGITAL DRIVE, LEHI, UT 84043
(775) 222-0042
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9010829-4408
UT
Other
Enumeration date
04/30/2019
Last updated
02/05/2020
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