Kimberly Renee Bluth

Physician Assistant · Draper, UT

Individual Active NPI

NPI number 1457906364

Practice location

12473 S Minuteman Dr
Draper, UT 84020-7870
Phone
(801) 495-7900
Fax
(801) 495-7990

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NPI record

NPI
1457906364
Entity type
Individual (Type 1)
Enumeration date
August 7, 2019
Last updated
June 10, 2026
Certified
June 10, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 8017977-1206 UT

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone
(801) 495-7900

Other practice locations (1)

  • 5506 W Town Center Pkwy, Highland, UT 84003-2880 · (801) 602-8689

About Kimberly Bluth

Kimberly Renee Bluth is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 12473 S Minuteman Dr, Draper, UT 84020-7870. The NPI number 1457906364 was assigned on August 7, 2019 and the record was last updated on June 10, 2026.

Kimberly Bluth lists a license in the registry: #8017977-1206 (UT) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kimberly Renee Bluth?

The NPI number is 1457906364.

What is the phone number of Kimberly Bluth?

The phone number listed for the practice location is (801) 495-7900.

Where is Kimberly Bluth located?

12473 S Minuteman Dr, Draper, UT 84020-7870.

What is the taxonomy code for Kimberly Bluth?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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