MCKENZIE REYNOLDS
Physician Assistant
Active
Individual
NPI: 1902415219
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 12474301-1206 (UT) |
Frequently Asked Questions
NPI 1902415219 is the National Provider Identifier for MCKENZIE REYNOLDS, a Physician Assistant provider located in Santa Clara, UT. This NPI was enumerated on July 23, 2020.
MCKENZIE REYNOLDS practices at 786 LEDA LN, Santa Clara, UT 84765.
Quick Facts
- NPI
- 1902415219
- Type
- Individual
- Enumerated
- Jul 23, 2020
- Last Updated
- Dec 20, 2021
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