Individual provider · Type 1 NPI

Spencer Randy Kimball, RN

Registered Nurse · Layton, UT

NPI number 1356597900 Active

Practice location

2250 N 1700 W
Layton, UT 84041-1140

Fax (801) 774-6100

Mailing address

PO Box 460
Bountiful, UT 84011-0460

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X4759588-3102 (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 1356597900

Spencer Randy Kimball, RN's National Provider Identifier is 1356597900, issued on Aug 14, 2008. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Layton, UT. The record was last updated on Aug 14, 2008.