Whalio Doctors

NPI 1003302548

Kim Marie McKinnon, NP

Practitioner Psychiatric/Mental Health Nurse Practitioner Sandy, UT

Practice location

Address
45 W Sego Lily Dr STE 312, Sandy, UT 84070-3643
Phone
(801) 676-9452
Fax
(801) 206-9734
Mailing address
8197 S 5140 W, West Jordan, UT 84081-2705

Registered specialties (3)

Psychiatric/Mental Health Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 294366-8900 (UT)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 294366-4405 (UT)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 294366-8900 (UT)

Registry record

NPI
1003302548
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Jul 2018
Record last updated
13 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.