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

Kimber Kathleen Watson Nelson, PA-C

Individual provider Physician Assistant · NPI 1689902603

Kimber Kathleen Watson Nelson, PA-C is a Physician Assistant in Provo, Utah. Qualified in 2009, 17 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
17
Licensed in
CA, UT
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

395 W Cougar Blvd Ste 205
Provo, UT 84604-3328
Phone: (801) 357-1770
Fax: (801) 357-1779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17777 Center Court Dr N, Cerritos, CA 90703-8567 — (562) 229-9452

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10106906-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA20714 (CA)

Record details

NPI number1689902603
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 2, 2009
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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