Mikesell, Kelly D
Mikesell, Kelly D is an individual health care provider with primary practice located at 3570 W 9000 S Ste 200 , West Jordan UT 84088-8875. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mikesell, Kelly D can be contacted via phone (801) 566-9211.Contact Information
Primary practice address
3570 W 9000 S Ste 200
West Jordan UT 84088-8875
Phone: (801) 566-9211
Fax: (801) 566-5667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5244260-1206 | Utah |
Profile Details
| NPI number | 1023200888 |
|---|---|
| LBN Legal business name | Mikesell, Kelly D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2007 |
| Last updated | Feb 9th, 2017 - about 7 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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