Healthcare Provider Details

I. General information

NPI: 1174509277
Provider Name (Legal Business Name): PAMELA JOYCE KUHLMANN RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 S MAIN ST
SALT LAKE CITY UT
84101-3176
US

IV. Provider business mailing address

1608 WYNGATE PARK DR
SOUTH JORDAN UT
84095-8418
US

V. Phone/Fax

Practice location:
  • Phone: 801-539-7000
  • Fax: 801-539-7050
Mailing address:
  • Phone: 801-553-9798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number220489-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: