IndividualActive
Bonnie Kilgannon
NPI 1669487419 · Psychiatric/Mental Health Nurse Practitioner · Layton, UT
Provider details
- NPI number
- 1669487419
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 208361-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2250 Robins Dr
Layton, UT 84041-1140
Phone: (801) 773-7060
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 689
Farmington, UT 84025-0689
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.