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
State
Utah
ZIP Code
84088-8875
Phone
(801) 566-9211

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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