Soutsada Nikki Konesavanh, PA-C is a medical physician assistant in Salt Lake City, UT with 16 years of experience. Soutsada Nikki Konesavanh, PA-C NPI is 1417108606. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84112-924
Phone: (801) 585-2341
The NPI 1417108606 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 10/6/2008 and was last updated on 11/17/2021.