KIM MARIE MCKINNON (NPI# 1003302548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003302548 |
| Entity Type | Individual |
| Full Name | KIM MARIE MCKINNON |
| Credential | NP |
| Practice Address |
3898 W Innovation Dr Riverton UT 84065-6037 |
| Mailing Address |
8197 S 5140 W West Jordan UT 84081-2705 |
| Practice Telephone | 8013020660 |
| Mailing Telephone | 8018956171 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 294366-4405 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
3898 W INNOVATION DR |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841557469 | Svetlana Abrams | Physical Medicine & Rehabilitation | 3723 W 12600 S Ste 460, Riverton, UT 84065-7296 | 2012-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053977769 | Michael Tobler | Physical Medicine & Rehabilitation | 6360 S 3000 E Ste 300, Salt Lake City, UT 84121-6926 | 2019-05-17 |
| 1891255071 | Nicholas E. Gavern | Physical Medicine & Rehabilitation | 30 N 1900 E Rm 1c301, Salt Lake City, UT 84132-0002 | 2019-03-22 |
| 1952874703 | Joshua Minori Do Pllc | Physical Medicine & Rehabilitation | 2232 E Vimont Ave, Salt Lake City, UT 84109-1741 | 2019-01-04 |
| 1831681923 | Davis Timpson | Physical Medicine & Rehabilitation | 6360 S 3000 E # 150, Cottonwood Heights, UT 84121-6923 | 2018-06-04 |
| 1487158960 | Marc A. Caragea | Physical Medicine & Rehabilitation | Dept of Pm&r 30 N 1900 E 1c301, Salt Lake City, UT 84132-2119 | 2018-03-20 |
| 1417465014 | Lepont Utah Medical Group | Physical Medicine & Rehabilitation | 1015 E 100 N, Logan, UT 84321-4873 | 2018-01-17 |
| 1518482546 | Alexandria Straup | Physical Medicine & Rehabilitation | 1868 W 9800 S # 200, South Jordan, UT 84095-4713 | 2017-08-10 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1619327939 | Joseph C Fyans PC | Physical Medicine & Rehabilitation | 5064 N Ravencrest Ln, Lehi, UT 84043-7725 | 2016-06-17 |
| 1386036077 | Cameron G Peterson PC | Physical Medicine & Rehabilitation | 740 E 150 S, Hyde Park, UT 84318-3541 | 2015-03-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.