| Kelli Elaine Groomer, PA | |
|
8 Th Ave & C St, Salt Lake City, UT 84143-0001 | |
| (801) 408-3729 | |
| Not Available |
| Full Name | Kelli Elaine Groomer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 8 Th Ave & C St, Salt Lake City, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568412724 | NPI | - | NPPES |
| 86519 | Other | PEHP # | |
| 26837 | Other | ALTIUS # | |
| 100507903 | Medicaid | NV |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lds Hospital | Salt lake city, UT | Hospital |
| Riverton Hospital | Riverton, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Elaine Groomer, PA Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 408-3729 | Kelli Elaine Groomer, PA 8 Th Ave & C St, Salt Lake City, UT 84143-0001 Ph: (801) 408-3729 |
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