Kelly D Mikesell, PA-C
NPI #1023200888 in West Jordan, Utah
Provider Information
- NPI Number
- 1023200888
- Entity Type
- Individual
- Name
- Kelly D Mikesell, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 15, 2007
- Last Updated
- Feb 9, 2017
Practice Location
- Address
- 3570 W 9000 S STE 200
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-8875
- Phone
- (801) 566-9211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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