IndividualActive
Kimberly Grady, BSN, RN
NPI 1730848789 · General Practice Registered Nurse · South Salt Lake, UT
Provider details
- NPI number
- 1730848789
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- BSN, RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10152046-3102 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
2550 S Main St Apt 6203
South Salt Lake, UT 84115-3083
Phone: (708) 278-5602
Approximate (ZIP-level) locationGet directions
Mailing address
2550 S Main St Apt 6203
South Salt Lake, UT 84115-3083
Registry dates
- Enumerated
- 2021-12-16
- Last updated
- 2021-12-16
- Certified
- 2021-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.