Kevin L Kimball

Primary specialty

PsychologistTaxonomy code 103T00000X

License

11552306-2501 Issued in UT

Practice address

760 North 530 East
Orem, UT 84097

Phone

(801) 687-9509

NPI assigned

Feb 19, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harmon Psychotherapy & Consulting

  • Clinical Social Worker
  • Orem, UT
  • NPI 1295414415
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1336945666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 W 11625 S",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840957934",
            "telephone_number": "801-509-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NORTH 530 EAST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84097",
            "telephone_number": "801-687-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "KEVIN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "11552306-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids on the Move
• Kids on the Move, Inc
• Kids on the Move, Inc.
• Ji Hwan Kim, M.D.
• Aubrianna Kimball
• Anna Kimber
• Payton Kimber, DPT
• Jeanette Kimble, LPN
• Taylyn Kindel
• Kylee Kinder

• Psychologist in Orem, UT
• Providers in Orem, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.