Individual
MRS. KATELYNN BROOKE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 W 1425 N, LAYTON, UT 84041-5849
(435) 225-2185
Mailing address
150 W 1425 N, LAYTON, UT 84041-5849
(435) 225-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-005492
VA
363A00000X
Physician Assistant
Primary
10856926-1206
UT
Other
Enumeration date
08/18/2016
Last updated
04/17/2026
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