Kelly Mikesell, PA-C

NPI 1023200888 · on the registry since 2007

Practice

Address: 3570 W 9000 S Ste 200
West Jordan, UT 84088
Phone: (801) 566-9211
Fax: (801) 566-5667
Organisation at this address: Family Plaza Pharmacy Inc
Family Plaza Pharmacy Inc
Ascend-Higher Therapy Llc
Jordan Valley Family Health
West Jordan Medical Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah