NPI 1013387315

Kimberly Randolph

Practitioner Registered Nurse Salt Lake City, UT

Practice location

Address: 5965 S 900 E, Salt Lake City, UT 84121-1720
Phone: (801) 263-7138

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 8202176-3102 (UT)

Other Registered Nurse providers in Utah →

Registry record

NPI: 1013387315
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2015
Record last updated: 29 Sep 2015

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.