Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim Marie McKinnon, NP

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1003302548

Kim Marie McKinnon, NP is a Nurse Practitioner in Sandy, Utah. Qualified in 2018, 8 years ago. Practices with Anderson Wellness Group LLC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643
Phone: (801) 676-9452
Fax: (801) 206-9734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 294366-8900 (UT)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 294366-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 294366-8900 (UT)

Record details

NPI number1003302548
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 9, 2018
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Anderson Wellness Group Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Sandy