Individual
KIMBERLY SHIRLEY HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
181 E MEDICAL TOWER DR, SALT LAKE CITY, UT 84107-4872
(801) 314-4300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 314-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085005820
IL
363A00000X
Physician Assistant
Primary
12347157-1206
UT
Other
Enumeration date
09/11/2014
Last updated
04/05/2022
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