NPI 1174683775

Kathryn Renee Marshall, PAC

Practitioner Medical Physician Assistant South Jordan, UT

Practice location

Address: 10623 S Redwood Rd Suite 101, South Jordan, UT 84095-2481
Phone: (801) 566-4242

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence C0002238 (MD)

Other Physician Assistant providers in Utah →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10142002-1206 (UT)

Registry record

NPI: 1174683775
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2006
Record last updated: 30 Dec 2016

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.