# MS. KATHY JANE PEDERSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265419022
- **Gender:** F
- **Credential:** PA-C, MPAS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 102701-1206 | UT | Yes |

## Other

- **Enumeration date:** 12/22/2005
- **Last updated:** 07/19/2007