Tagg, Kimberly Lynn

Tagg, Kimberly Lynn is an individual health care provider with primary practice located at 435 N Gateway Dr Ste 801 , Providence UT 84332-9004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tagg, Kimberly Lynn can be contacted via phone (435) 787-1023.

Contact Information

Primary practice address
435 N Gateway Dr Ste 801 Providence UT 84332-9004
Fax: (435) 787-1882
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5644836-4405 Utah

Profile Details

NPI number 1801477286
LBN Legal business name Tagg, Kimberly Lynn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2021
Last updated Mar 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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