KELLY MIKESELL, PA-C

PA-C

Medical Physician Assistant

NPI: 1023200888IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

5244260-1206(UT)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2007

Contact & Hours

Address: 3570 W 9000 S STE 200
WEST JORDAN, UT 84088
Phone: (801) 566-9211

Quick Facts

NPI: 1023200888
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 19

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