Healthcare Provider Details

I. General information

NPI: 1740156744
Provider Name (Legal Business Name): ESTHER ORLEAN KINGSTON WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 W 5300 S
MURRAY UT
84123-5671
US

IV. Provider business mailing address

5287 S 2150 W
TAYLORSVILLE UT
84129-1330
US

V. Phone/Fax

Practice location:
  • Phone: 801-327-8700
  • Fax:
Mailing address:
  • Phone: 801-618-9850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number9047061-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: