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

Keri L Holyoak, PA

Individual provider Physician Assistant · NPI 1578578357

Keri L Holyoak, PA is a Physician Assistant in Midvale, Utah. Qualified in 2005, 21 years ago. Practices with Dermatology Center of Salt Lake Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
21
Licensed in
UT
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7396 Union Park Ave Ste 201
Midvale, UT 84047-6702
Phone: (801) 567-1400
Fax: (801) 567-1777
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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 MH1325124 (UT)

Record details

NPI number1578578357
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 30, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Dermatology Center Of Salt Lake Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Midvale