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

Kendra Ann Parker

Individual provider Surgical Physician Assistant · NPI 1447209473

Kendra Ann Parker is a Physician Assistant in American Fork, Utah. Qualified in 2004, 22 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri and Utah.

Years since qualifying
22
Licensed in
MO, UT
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1184 E 80 N
American Fork, UT 84003-2906
Phone: (801) 763-3885
Fax: (801) 763-3887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3000 N Triumph Blvd Ste 100, Lehi, UT 84043-4999 — (801) 763-3885

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 7047461-1206 (UT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2005000370 (MO)

Record details

NPI number1447209473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing address1055 N 500 W, Credentialing Department, Provo, UT 84604-3305

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in American Fork