Individual provider · Type 1 NPI
Kindra K. Jacoby, P.A.
Medical Physician Assistant · Provo, UT
NPI number
1295925642
Active
Practice location
280 West River Park Dr., Ste. #350
Provo, UT 84604
Fax (801) 229-1067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 4992594-1206 (UT) |
Medical Physician Assistant: Definition to come...
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About NPI 1295925642
Kindra K. Jacoby, P.A.'s National Provider Identifier is 1295925642, issued on Jul 31, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Provo, UT. The record was last updated on Jul 31, 2007.