Individual
KIM STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
5620 S WATERBURY WAY # A200, SALT LAKE CITY, UT 84121-1180
(801) 455-8822
(561) 589-6511
Mailing address
5620 S WATERBURY WAY # A200, SALT LAKE CITY, UT 84121-1180
(801) 455-8822
(561) 589-6511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
274276-4405
UT
363L00000X
Nurse Practitioner
274276-8900
UT
Other
Enumeration date
10/08/2008
Last updated
03/24/2023
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