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

Kimberly Renee Bluth

Individual provider Physician Assistant · NPI 1457906364

Kimberly Renee Bluth is a Physician Assistant in Draper, Utah. Qualified in 2019, 7 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019

Practice location Address checks out

12473 S Minuteman Dr
Draper, UT 84020-7870
Phone: (801) 495-7900
Fax: (801) 495-7990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8017977-1206 (UT)

Record details

NPI number1457906364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2019
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Draper