Kindra K Jacoby, P.A.

NPI #1295925642 in Provo, Utah

Provider Information

NPI Number
1295925642
Entity Type
Individual
Name
Kindra K Jacoby, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.
Enumeration Date
Jul 31, 2007
Last Updated
Jul 31, 2007

Practice Location

Address
280 WEST RIVER PARK DR.
Address 2
STE. #350
City
Provo
State
Utah
ZIP Code
84604
Phone
(801) 229-1014

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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