Provider Demographics
NPI:1710940952
Name:SEAMONS, KATHRYN HARDY (CNM NP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:HARDY
Last Name:SEAMONS
Suffix:
Gender:F
Credentials:CNM NP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:HARDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:585 N 500 W
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84601-1548
Mailing Address - Country:US
Mailing Address - Phone:801-374-1801
Mailing Address - Fax:801-216-8357
Practice Address - Street 1:1248 E 90 N
Practice Address - Street 2:SUITE 300
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2956
Practice Address - Country:US
Practice Address - Phone:801-756-1577
Practice Address - Fax:801-216-8357
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT359986-4402176B00000X
UT367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD5839Medicaid
UTD5839Medicaid
UTO32827Medicare UPIN