Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Klossner, PA-C

Individual provider Physician Assistant · NPI 1053094524

Kathryn Klossner, PA-C is a Dermatology in South Jordan, Utah. Qualified in 2024, 2 years ago. Registered with an NPI since 2023.

Years since qualifying
2
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1680 W Reunion Ave Ste 5A
South Jordan, UT 84095-4620
Phone: (801) 809-4482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1053094524
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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