Individual
KATELYN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2183 W MAIN ST STE A107, LEHI, UT 84043-6761
(385) 203-1215
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13028721-1206
UT
Other
Enumeration date
07/30/2022
Last updated
12/08/2022
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