Healthcare Provider Details

I. General information

NPI: 1811640410
Provider Name (Legal Business Name): KYLEIGH MCKAY HATCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2022
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 W 12600 S
RIVERTON UT
84065-7119
US

IV. Provider business mailing address

3002 W 12600 S
RIVERTON UT
84065-7119
US

V. Phone/Fax

Practice location:
  • Phone: 801-930-0411
  • Fax:
Mailing address:
  • Phone: 801-930-0411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: