Kelly D Mikesell is a Medical in West Jordan, Utah. Kelly D Mikesell practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly D Mikesell is 1023200888. The last update date is 2017-02-09.
Kelly D Mikesell's current location address is 3570 W 9000 S Ste 200, West Jordan, Utah. You can contact this provider via phone number 8015669211 and fax number 8015665667. The mailing address for Kelly D Mikesell is 3570 W 9000 S Ste 200, West Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly D Mikesell |
|---|---|
| Address | 3570 W 9000 S Ste 200, West Jordan, Utah |
| Phone Number | 8015669211 |
| Fax Number | 8015665667 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1023200888 |
|---|---|
| Provider Enumeration Date | 2007-08-15 |
| Last Updated Date | 2017-02-09 |
Provider Mailing Address Detail
| Address | 3570 W 9000 S Ste 200 |
|---|---|
| City | West Jordan |
| State | Utah (UT) |
| Post Code | 840888875 |
| Phone Number | 8015669211 |
| Fax Number | 8015665667 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5244260-1206 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly D Mikesell?
The Kelly D Mikesell has been issued the NPI (National Provider Identifier) 1023200888 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Kelly D Mikesell is geographically located?
The Kelly D Mikesell is physically situated at the following location: 3570 W 9000 S Ste 200, West Jordan, UT, 840888875.
What is Kelly D Mikesell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly D Mikesell's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023200888 to Kelly D Mikesell?
The Centers for Medicare & Medicaid Services assigned the 1023200888 to Kelly D Mikesell on 2007-08-15.
When was the information regarding Kelly D Mikesell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly D Mikesell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-02-09.
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