Individual provider · Type 1 NPI

Katie Elaine Ridge McKinnon

Physician Assistant · Provo, UT

NPI number 1811624513 Active

Practice location

1900 N State St Ste 105
Provo, UT 84604-1354

Call (801) 655-5245 Map

Mailing address

1281 Cherry Ln
Provo, UT 84604-3622

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X13072448-1206 (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 1811624513

Katie Elaine Ridge McKinnon's National Provider Identifier is 1811624513, issued on Aug 2, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Provo, UT. The record was last updated on Jan 8, 2023.