NPI
Kim Marie McKinnon
NPI 1003302548
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- NP
- Type
- Individual
- Enumeration date
- 2018-07-09
- Last updated
- 2021-01-13
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Specialties
Licenses
- License UT
- 294366-4405
- License UT
- 294366-8900
Location
- Practice location
- 45 W Sego Lily Dr Ste 312
- City
- Sandy UT
- Postal code
- 84070-3643
- Phone
- (801) 676-9452
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Sandy, UT. 2,172 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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