Individual provider · Type 1 NPI
Donna L. Kicin, AGPCNP-BC
Gerontology Nurse Practitioner · West Jordan, UT
NPI number
1245032432
Active
Practice location
1755 W 8760 S
West Jordan, UT 84088-9397
Fax (385) 304-4749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 10496682-4405 (UT) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1245032432
Donna L. Kicin, AGPCNP-BC's National Provider Identifier is 1245032432, issued on Mar 26, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in West Jordan, UT. The record was last updated on May 28, 2026.