KIM DOANE
NPI 1639955933
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since September 04, 2023PECOS Enrolled
2241 E LAIRD WAY, SALT LAKE CITY, UT 84108(801) 803-1696 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Doane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM DOANE (NPI 1639955933) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639955933
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKIM DOANE
Location Address2241 E LAIRD WAYSalt Lake City, UT 84108-1924
Mailing Address2241 E Laird WaySlc, UT 84108-1924
Sole ProprietorNo
Enumeration DateSeptember 4, 2023
NPPES CertifiedSeptember 4, 2023
NPI 1639955933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2241 E LAIRD WAY, Salt Lake City, UT 84108

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kim Doane is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Doane's NPI number?

The NPI number for Kim Doane is 1639955933. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Where is Kim Doane located?

Kim Doane practices at 2241 E Laird Way, Salt Lake City, UT 84108. The listed phone number is (801) 803-1696.

What is Kim Doane's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kim Doane enrolled in Medicare?

Yes. Kim Doane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim Doane was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.