Jacoby, Kindra K
Jacoby, Kindra K is an individual health care provider with primary practice located at 280 West River Park Dr. Ste. #350, Provo UT 84604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jacoby, Kindra K can be contacted via phone (801) 229-1014.Contact Information
Primary practice address
280 West River Park Dr. Ste. #350
Provo UT 84604
Phone: (801) 229-1014
Fax: (801) 229-1067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4992594-1206 | Utah |
Profile Details
| NPI number | 1295925642 |
|---|---|
| LBN Legal business name | Jacoby, Kindra K |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2007 |
| Last updated | Jul 31st, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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