Individual provider · Type 1 NPI

Kimberly Randolph

Registered Nurse · Salt Lake City, UT

NPI number 1013387315 Active

Practice location

5965 S 900 E
Salt Lake City, UT 84121-1720

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	8202176-3102 (UT)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1013387315

Kimberly Randolph's National Provider Identifier is 1013387315, issued on Sep 29, 2015. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 29, 2015.