Katie Elaine Ridge McKinnon
Katie Elaine Ridge McKinnon is a Physician Assistant in Provo, Utah. Licensed in Utah. Registered with an NPI since 2022.
- Licensed in
- UT
- In the registry since
- 2022
Practice location Address checks out
1900 N State St Ste 105Provo, UT 84604-1354
Phone: (801) 655-5245
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 13072448-1206 (UT) |
|---|
Record details
| NPI number | 1811624513 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 2, 2022 |
| Last updated in NPPES | January 8, 2023 |
| Certification date | January 8, 2023 |
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