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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DONNA L KICIN, AGPCNP-BC

Active Sole Proprietor

DONNA L KICIN, AGPCNP-BC is a Geriatric Medicine healthcare provider located in WEST JORDAN, Utah. NPI 1245032432 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · WEST JORDAN, UT

Registration Details

NPI Number
1245032432
Provider Type
Individual
Gender
Female
NPI Issued
Mar 26, 2025 (1.3444217248367 yrs)
Last Updated
Feb 24, 2026
Licenses
104966824405 (UT)
10496682-3102 (UT)
Sole Proprietor
Yes

Practice Information

Address
1755 W 8760 S
WEST JORDAN, UT, 840889397
Browse UT providers · Browse ZIP 84088
Phone
3852673951
Fax
3853044749
Primary Specialty
Geriatric Medicine
207QG0300X
Additional Specialty
Registered Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.