Individual
KINDRA K JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
280 WEST RIVER PARK DR., STE. #350, PROVO, UT 84604
(801) 229-1014
(801) 229-1067
Mailing address
280 WEST RIVER PARK DR., STE. #350, PROVO, UT 84604
(801) 229-1014
(801) 229-1067
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4992594-1206
UT
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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