Individual
KEVIN MACFARLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
8211 WEST 3500 SOUTH, MAGNA, UT 84044
(801) 250-9638
(801) 250-3204
Mailing address
8211 W 3500 SO, MAGNA, UT 84044
(801) 250-9638
(801) 250-3204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1001761206
UT
Other
Enumeration date
12/26/2006
Last updated
07/15/2010
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