Spencer Randy Kimball in Bountiful - Registered Nurse
Spencer Randy Kimball - NPI 1356597900
Spencer Randy Kimball is a Registered Nurse in Bountiful, Utah. Spencer Randy Kimball practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Spencer Randy Kimball is 1356597900. The last update date is 2008-08-14.
Spencer Randy Kimball's current location address is Po Box 460, Bountiful, Utah. You can contact this provider via phone number 8017793001 and fax number 8017746100. The mailing address for Spencer Randy Kimball is Po Box 460, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Spencer Randy Kimball |
|---|---|
| Address | Po Box 460, Bountiful, Utah |
| Phone Number | 8017793001 |
| Fax Number | 8017746100 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1356597900 |
|---|---|
| Provider Enumeration Date | 2008-08-14 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | Po Box 460 |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 840110460 |
| Phone Number | 8017793001 |
| Fax Number | 8017746100 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 4759588-3102 |
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Definition: (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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870430116009 | UT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Spencer Randy Kimball?
The Spencer Randy Kimball has been issued the NPI (National Provider Identifier) 1356597900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Spencer Randy Kimball's facilities are geographically located?
The facilities of Spencer Randy Kimball are physically situated at the following location: Po Box 460, Bountiful, UT, 840110460.
What is Spencer Randy Kimball's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Spencer Randy Kimball is Registered Nurse, and the corresponding taxonomy classification code for this specialized field is 163W00000X.
When did the Spencer Randy Kimball receive its 1356597900?
The Spencer Randy Kimball was issued its 1356597900 on 2008-08-14, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Spencer Randy Kimball most recently updated or revised?
The details related to Spencer Randy Kimball, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-14.