KELLY MIKESELL, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1023200888
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 5244260-1206 (UT) |
Frequently Asked Questions
NPI 1023200888 is the National Provider Identifier for KELLY MIKESELL, PA-C, a Physician Assistant - Medical provider located in West Jordan, UT. This NPI was enumerated on August 15, 2007.
KELLY MIKESELL, PA-C practices at 3570 W 9000 S STE 200, West Jordan, UT 84088.
Quick Facts
- NPI
- 1023200888
- Type
- Individual
- Enumerated
- Aug 15, 2007
- Last Updated
- Feb 9, 2017
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