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

McKenzie Alban, PA-S

Individual provider Physician Assistant · NPI 1235754490

McKenzie Alban, PA-S is a Physician Assistant in Salt Lake City, Utah. Qualified in 2021, 5 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
5
Licensed in
UT
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

30 N 1900 E # 3B400
Salt Lake City, UT 84132-8401
Phone: (801) 209-0963
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4117 South Hidden Ridge Circle, Bountiful, UT 84010-8401 — (801) 209-0963

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 12464746-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 12464746-1206 (UT)

Record details

NPI number1235754490
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJune 13, 2020
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 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