Healthcare Provider Details

I. General information

NPI: 1952212102
Provider Name (Legal Business Name): KIRALYN ADAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W ANTELOPE DR
LAYTON UT
84041-1142
US

IV. Provider business mailing address

1422 GLENEAGLES DR
SYRACUSE UT
84075-9731
US

V. Phone/Fax

Practice location:
  • Phone: 801-389-4328
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number6003757-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: