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

Mikenzie Hendricks, PA-C

Individual provider Physician Assistant · NPI 1255197018

Mikenzie Hendricks, PA-C is a Physician Assistant in Kamas, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

228 W 200 S
Kamas, UT 84036-9010
Phone: (435) 783-4385
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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 13416827-1206 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 13416827-1206 (UT)

Record details

NPI number1255197018
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 27, 2024
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address948 W Vahe St, Draper, UT 84020-8416

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