IndividualActive
Kim Mckinnon, NP
NPI 1003302548 · Psychiatric/Mental Health Nurse Practitioner · Sandy, UT
Provider details
- NPI number
- 1003302548
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 294366-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643
Phone: (801) 676-9452
Fax: (801) 206-9734
Approximate (ZIP-level) locationGet directions
Mailing address
8197 S 5140 W
West Jordan, UT 84081-2705
Registry dates
- Enumerated
- 2018-07-09
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.