Individual provider · Type 1 NPI

Kelsey Gleason, PA-C

Surgical Physician Assistant · Provo, UT

NPI number 1205217890 Active

Practice location

1055 N 500 W Ste 121
Provo, UT 84604

Call (801) 373-7350 Map

Fax (801) 812-5401

Mailing address

1055 N 500 W, Att: Credentialing
Provo, UT 84604-3305

Other practice locations

  • 700 W 800 N Ste 100, Orem, UT 84057-6301 · (801) 373-7350
  • 1055 N 500 W Ste 121, Provo, UT 84604 · (801) 373-7350

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X11085884-1206 (UT)
Surgical Physician Assistant Primary 363AS0400X11085884-1206 (UT)

Surgical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1205217890

Kelsey Gleason, PA-C's National Provider Identifier is 1205217890, issued on Jun 9, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Provo, UT. The record was last updated on Nov 27, 2023.