Kim Marie Mckinnon
Physical Medicine & Rehabilitation Doctor Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
45 W Sego Lily Dr Ste 312
Sandy
, Utah 84070-3643
Kim Marie Mckinnon
Physical Medicine & Rehabilitation Doctor Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
45 W Sego Lily Dr Ste 312
Sandy
, Utah 84070-3643
(801) 895-6171
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Kim Marie Mckinnon
- 8197 S 5140 W
- West Jordan, UT
- Zip : 84081-2705
- Phone : (801) 895-6171
Second Address
- Kim Marie Mckinnon
- 45 W Sego Lily Dr Ste 312
- Sandy, UT
- Zip : 84070-3643
- Fax : (801) 206-9734
- Phone : (801) 676-9452
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FAQs
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Is Kim Marie Mckinnon a sole practitioner?
Is Kim Marie Mckinnon accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 294366-4405 | UT |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 294366-8900 | UT |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 294366-8900 | UT |
National Provider Identifier
| NPI | 1003302548 |
|---|---|
| Provider Name | Kim Marie Mckinnon |
| First Address | West Jordan, UT 84081-2705 |
| Second Address | Sandy, UT 84070-3643 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2018 |
| Last Update Date | 13/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.