NPI 1053094524

Kathryn Klossner, PAC

Practitioner Physician Assistant South Jordan, UT

Practice location

Address: 1680 W Reunion Ave STE 5a, South Jordan, UT 84095-4620
Phone: (801) 809-4482
Mailing address: 987 S Geneva Rd, Orem, UT 84058-6085

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1053094524
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2023
Record last updated: 26 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.