Individual
MCKENZIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1126 E 12300 S, DRAPER, UT 84020-9095
(801) 545-0500
(801) 545-0626
Mailing address
10433 S REDWOOD RD STE 2, SOUTH JORDAN, UT 84095-8502
(801) 260-1919
(801) 260-1441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13224943-1206
UT
Other
Enumeration date
05/23/2023
Last updated
03/19/2025
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