Individual
KIMBERLY BACHMAN PERSCHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3838 W PARKWAY BLVD, SALT LAKE CITY, UT 84120-6336
(385) 401-0414
Mailing address
4488 SUMMERWOOD DR, BOUNTIFUL, UT 84010-5891
(801) 698-8836
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5376702-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891288924
—
UT
Enumeration date
06/13/2018
Last updated
11/21/2024
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