Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelyn Perry

Individual provider Physician Assistant · NPI 1750017794

Katelyn Perry is a Physician Assistant in Lehi, Utah. Qualified in 2022, 4 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
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Practice location Address checks out

2183 W Main St Ste A107
Lehi, UT 84043-6761
Phone: (385) 203-1215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13028721-1206 (UT)

Record details

NPI number1750017794
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2022
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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