Individual provider · Type 1 NPI

Nicole Kelly, P.A.-C

Physician Assistant · Draper, UT

NPI number 1013312339 Active

Practice location

12340 S 450 E
Draper, UT 84020-8154

Call (801) 501-9797 Map

Mailing address

8899 S 700 E, Suite 250
Sandy, UT 84070-1810

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9190865-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013312339

Nicole Kelly, P.A.-C's National Provider Identifier is 1013312339, issued on Oct 29, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Draper, UT. The record was last updated on Aug 1, 2016.