Individual
MS. JAMI Z MCKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7877
(801) 356-0045
Mailing address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7877
(801) 356-0045
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
7471515-1206
UT
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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