Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY D MIKESELL, PA-C
ActiveKELLY D MIKESELL, PA-C is a Medical Physician Assistant healthcare provider located in WEST JORDAN, Utah. NPI 1023200888 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WEST JORDAN, UT
Registration Details
- NPI Number
- 1023200888
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2007 (18.814853754523 yrs)
- Last Updated
- Feb 9, 2017
- License
-
5244260-1206 (UT)
Practice Information
- Address
-
3570 W 9000 S STE 200WEST JORDAN, UT, 840888875Browse UT providers · Browse ZIP 84088
- Phone
- 8015669211
- Fax
- 8015665667
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WEST JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| ASHLEY J REEDER | PA-C | 1639218969 |
| MR. KYLE W HARMER | PA-C | 1982883856 |
| JARED HARVEY MATHIS | PA-C | 1497908008 |
| JEFFREY MICHAEL POLLOCK | P.A.-C. | 1467775403 |
| MR. COLLIN VERDEL MCDONALD | PA-C | 1154625739 |
| MR. JACK RICHARD SAUNDERS | MPAS, PA-C | 1801175807 |
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.