MRS. KELLY JEAN BRINKERHOFF (NPI# 1700396504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700396504 |
| Entity Type | Individual |
| Full Name | MRS. KELLY JEAN BRINKERHOFF |
| Credential | RN |
| Practice Address |
1893 E Skyline Dr Ste 102 South Ogden UT 84403-5382 |
| Mailing Address |
3105 S 2985 W West Haven UT 84401-4101 |
| Practice Telephone | 4352323458 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
58584373102 | UT | Nursing Service Providers |
| Street Address |
1893 E SKYLINE DR STE 102 |
| City | SOUTH OGDEN |
| State | UT |
| Zip Code | 84403-5382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660737 | Camrey Dawn Tuttle | Registered Nurse | 240 East Center Street, Orangeville, UT 84537-0204 | 2020-08-18 |
| 1396371423 | Rylee Nicole Kasal | Registered Nurse | 9601 S Limestone Cir, South Jordan, UT 84095-2811 | 2020-03-20 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1437387156 | Pamela W. Proctor | Registered Nurse | University of Utah Health Care, 50 North Medical Drive Som 4b120, Salt Lake City, UT 84132-0001 | 2009-07-01 |
| 1235462672 | Michael David Spratt | Registered Nurse | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2009-09-17 |
| 1568665784 | Barbara Smith-holmen | Registered Nurse | 10965 S State St, #100, Sandy, UT 84070-4270 | 2007-06-06 |
| 1326103433 | Evelyn Gail Sutton | Registered Nurse | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-12-27 |
| City | SOUTH OGDEN |
| Zip Code | 84403 |
Please comment or provide details below to improve the information on MRS. KELLY JEAN BRINKERHOFF.
| 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.