Mock, Katelyn

Mock, Katelyn is an individual health care provider with primary practice located at 50 N Medical Dr Clinic #4 , Salt Lake City UT 84132-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mock, Katelyn can be contacted via phone (801) 581-2719.

Contact Information

Primary practice address
50 N Medical Dr Clinic #4 Salt Lake City UT 84132-0002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 13565320-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 13565320-1206 Utah

Profile Details

NPI number 1316670284
LBN Legal business name Mock, Katelyn
Credentials PA-S
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2022
Last updated Mar 4th, 2024 - about 2 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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