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

Kimberly Lan Deatley, MD

Individual provider Psychiatry Physician · NPI 1477040236

Kimberly Lan Deatley, MD is a Psychiatry in Salt Lake City, Utah. Graduated from Texas a & M University System, Hsc, College of Medicine in 2018, 8 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
UT
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 S Chipeta Way
Salt Lake City, UT 84132-1222
Phone: (801) 581-4096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3460 S 4155 W, West Valley City, UT 84120 — (801) 964-3550

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 11415641-1205 (UT)

Record details

NPI number1477040236
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2018
Last updated in NPPESOctober 3, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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