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

Kyle David Wilkens

Individual provider Surgical Physician Assistant · NPI 1689845364

Kyle David Wilkens is a Physician Assistant in Salt Lake City, Utah. Qualified in 2007, 19 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
19
Licensed in
UT
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 587-7109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 82 S 1100 E, Salt Lake City, UT 84102-1686 — (801) 533-2002

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6384251-1206 (UT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 6384251-1206 (UT)

Record details

NPI number1689845364
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2008
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Salt Lake City