Provider Demographics
NPI:1497712376
Name:POZIL, KIM S (MD)
Entity type:Individual
Prefix:DR
First Name:KIM
Middle Name:S
Last Name:POZIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KIM
Other - Middle Name:
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1744 E THOMPSON PEAK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032
Mailing Address - Country:US
Mailing Address - Phone:435-640-2574
Mailing Address - Fax:435-613-9414
Practice Address - Street 1:1744 E THOMPSON PEAK CIRCLE
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032
Practice Address - Country:US
Practice Address - Phone:435-640-2574
Practice Address - Fax:435-647-3003
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT322406-1205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D37616Medicare UPIN
UT005711201Medicare PIN