Healthcare Provider Details

I. General information

NPI: 1720707722
Provider Name (Legal Business Name): MARCI KUHN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2022
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 W SEGO LILY DR STE 312
SANDY UT
84070-3643
US

IV. Provider business mailing address

45 W SEGO LILY DR STE 312
SANDY UT
84070-3643
US

V. Phone/Fax

Practice location:
  • Phone: 801-676-9452
  • Fax: 801-206-9734
Mailing address:
  • Phone: 801-676-9452
  • Fax: 801-206-9734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number267862-3102
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number267862-3102
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number267862-3102
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number267862-3102
License Number StateUT
# 5
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number267862-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: