Donna L Kicin, is a
Student In An Organized Health Care Education/training Program based in Bountiful, Utah. Donna L Kicin is licensed to practice in * (Not Available) (license number ) and her current practice location is
230 S Main St, Bountiful, Utah. She can be reached at her office (for appointments etc.) via phone at
(385) 267-3951.
NPI number for Donna L Kicin is 1245032432 and her current mailing address is 1755 W 8760 S, West Jordan, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245032432.
Provider's Profile
| Full Name | Donna L Kicin |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 230 S Main St, Bountiful, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245032432
- Provider Enumeration Date: 03/26/2025
- Last Update Date: 04/13/2025
Medical Identifiers
Medical identifiers for Donna L Kicin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245032432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 10496682-3102 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Donna L Kicin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Donna L Kicin, 1755 W 8760 S, West Jordan, UT 84088-9397 Ph: (385) 267-3951 | Donna L Kicin, 230 S Main St, Bountiful, UT 84010-6236 Ph: (385) 267-3951 |
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