Provider / Organization | NPI | Date Certified |
---|---|---|
KATELYN PERRY | 1750017794 | 2022-07-30 |
Katelyn Perry is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1750017794. Registration indicates Katelyn Perry is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Katelyn Perry |
Practice Office Address | 2183 W MAIN ST STE A107 LEHI, UT US |
Practice Office Telephone | 3852031215 |
Mailing Address | 1055 N 500 W ATTN CREDENTIALING PROVO, UT 84604 US |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 13028721-1206
UT |