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Contact Information

KIMBERLY BURGUENO
237 26TH ST
OGDEN, UT84401-3105
 Phone: 801-625-3700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for KIMBERLY BURGUENO · (Female)

NPI Number 1952071086
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2021
Last updated 09/20/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 313331-3102
  • UT Medicaid 8760003008007
  • UT Other 000055266 MEDICARE PIN
  • UT Other 260022408 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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