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NPI Profile for DONNA L KICIN in WEST JORDAN, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1245032432 |
|
| Status | Active | |
| Credentials | AGPCNP-BC | |
| Entity | Individual | |
| Enumeration date | 03/26/2025 | |
| Last updated | 05/28/2026 - About 2 weeks ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DONNA L KICIN
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DONNA L KICIN, AGPCNP-BC