Individual
ANNAMICHELLE KAY PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 N MEDICAL DR # LEVEL1, SALT LAKE CITY, UT 84132-0001
(801) 585-7676
Mailing address
50 N MEDICAL DR # LEVEL1, SALT LAKE CITY, UT 84132-0001
(801) 585-7676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14164525-1206
UT
Other
Enumeration date
11/06/2024
Last updated
12/09/2025
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