Healthcare Provider Details

I. General information

NPI: 1104348879
Provider Name (Legal Business Name): AMIE KIME DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2017
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9710 BRIMHALL RD
BAKERSFIELD CA
93312-2779
US

IV. Provider business mailing address

3382 S 715 E
SALT LAKE CITY UT
84106-1588
US

V. Phone/Fax

Practice location:
  • Phone: 661-829-6747
  • Fax: 661-829-6937
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number8318543-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number8318543-4405
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95035199
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: