Individual
ERIN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10623 S REDWOOD RD, SUITE 101, SOUTH JORDAN, UT 84095-2481
(801) 302-0899
(801) 253-1602
Mailing address
10623 S REDWOOD RD, STE 101, SOUTH JORDAN, UT 84095-2481
(801) 302-0899
(801) 302-0892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8413247-1206
UT
Other
Enumeration date
09/04/2012
Last updated
01/26/2022
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