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

Kindra K Jacoby, PA

Individual provider Medical Physician Assistant · NPI 1295925642

Kindra K Jacoby, PA is a Medical Physician Assistant in Provo, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

280 W River Park Dr Ste #350
Provo, UT 84604
Phone: (801) 229-1014
Fax: (801) 229-1067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4992594-1206 (UT)

Record details

NPI number1295925642
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 31, 2007
Last updated in NPPESJuly 31, 2007
Mailing address280 West River Park Dr., Ste. #350, Provo, UT 84604

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