Individual
KIMBERLY L. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
11721 S TATTERED ANGEL CV, RIVERTON, UT 84065-4110
(385) 223-7853
Mailing address
11721 S TATTERED ANGEL CV, RIVERTON, UT 84065-4110
(385) 223-7853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12066588-3102
UT
163WS0200X
School Registered Nurse
12066588-3102
UT
Other
Enumeration date
08/11/2022
Last updated
04/09/2023
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