Mikenzie Hendricks, PA-C | |
228 W 200 S, Kamas, UT 84036-9010 | |
(435) 783-4385 | |
Not Available |
Full Name | Mikenzie Hendricks |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 228 W 200 S, Kamas, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255197018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13416827-1206 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mikenzie Hendricks, PA-C 948 W Vahe St, Draper, UT 84020-8416 Ph: (801) 859-5939 | Mikenzie Hendricks, PA-C 228 W 200 S, Kamas, UT 84036-9010 Ph: (435) 783-4385 |
Troy Evans Johnson, Family Medicine Medicare: Medicare Enrolled Practice Location: 228 W 200 S, Kamas, UT 84036 Phone: 435-783-4385 | |
Fatima Vilich, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12202 Deer Mountain Blvd # 101-1740, Kamas, UT 84036 Phone: 435-782-9384 Fax: 847-919-8661 |