| Tyler Jordan Mckinnon, PA-C | |
|
1351 W 200 N, Kaysville, UT 84037 | |
| (801) 475-3420 | |
| (801) 475-3421 |
| Full Name | Tyler Jordan Mckinnon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1351 W 200 N, Kaysville, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790131480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10097081-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Derm - Blackhart Pllc | 1153609813 | 105 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Jordan Mckinnon, PA-C Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500 | Tyler Jordan Mckinnon, PA-C 1351 W 200 N, Kaysville, UT 84037 Ph: (801) 475-3420 |
Susan B Hastings, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 275 W 200 N Ste 7, Kaysville, UT 84037 Phone: 801-546-1300 Fax: 801-546-1301 | |
Matt Hauck, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 265 N Main St Ste D162, Kaysville, UT 84037 Phone: 801-448-7385 | |
Sarina Rose Howard, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1188 W Sportsplex Dr Ste 105, Kaysville, UT 84037 Phone: 760-533-8229 |