Search › Utah › 363A00000X
Kyrstanne Idom, PA
NPI 1659248953 · on the registry since 2025
Practice
- Address
- 228 S Tawny Dr
Grantsville, UT 84029 - Phone
- (801) 580-9139
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah