Kelly D Mikesell, PA-C is a medical physician assistant in West Jordan, UT with 17 years of experience. Kelly D Mikesell, PA-C NPI is 1023200888. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3570 W 9000 S STE 200
WEST JORDAN, UT
ZIP 84088-875
Phone: (801) 566-9211
Fax: (801) 566-5667
The NPI 1023200888 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/15/2007 and was last updated on 2/9/2017.