Individual provider · Type 1 NPI

Kim Marie McKinnon, NP

Psychiatric/Mental Health Nurse Practitioner · Sandy, UT

NPI number 1003302548 Active

Practice location

45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643

Fax (801) 206-9734

Mailing address

8197 S 5140 W
West Jordan, UT 84081-2705

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000X294366-4405 (UT)
Family Nurse Practitioner 363LF0000X294366-8900 (UT)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X294366-8900 (UT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003302548

Kim Marie McKinnon, NP's National Provider Identifier is 1003302548, issued on Jul 9, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sandy, UT. The record was last updated on Jan 13, 2021.