Individual provider · Type 1 NPI

Bonnie Kilgannon

Psychiatric/Mental Health Nurse Practitioner · Layton, UT

NPI number 1669487419 Active

Practice location

2250 Robins Dr
Layton, UT 84041-1140

Mailing address

PO Box 689
Farmington, UT 84025-0689

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X208361-4405 (UT)

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

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About NPI 1669487419

Bonnie Kilgannon's National Provider Identifier is 1669487419, issued on Jul 30, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Layton, UT. The record was last updated on Jul 8, 2007.