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

MS. Kathy Jane Pedersen, PA-C, MPAS

Individual provider Family Medicine Physician · NPI 1265419022

MS. Kathy Jane Pedersen, PA-C, MPAS is a Family Medicine Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2005.

Licensed in
UT
In the registry since
2005
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

4745 S 3200 W
Salt Lake City, UT 84118-2822
Phone: (801) 964-6214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 102701-1206 (UT)

Record details

NPI number1265419022
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPAS
Sole proprietorNo
NPI enumeratedDecember 22, 2005
Last updated in NPPESJuly 19, 2007

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