Mckay Family Practice Pllc | |
7478 S Campus View Dr Ste 100 West Jordan UT 84084-1968 | |
(801) 210-2445 | |
(385) 200-8440 |
Full Name | Mckay Family Practice Pllc |
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Speciality | Family Medicine |
Location | 7478 S Campus View Dr Ste 100, West Jordan, Utah |
Authorized Official Name and Position | Jenny Mckay (OWNER) |
Authorized Official Contact | 8012102445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mckay Family Practice Pllc 7478 S Campus View Dr Ste 100 West Jordan UT 84084-1968 Ph: (012) 102-4458 | Mckay Family Practice Pllc 7478 S Campus View Dr Ste 100 West Jordan UT 84084-1968 Ph: (801) 210-2445 |
NPI Number | 1659980605 |
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Provider Enumeration Date | 07/27/2020 |
Last Update Date | 09/03/2020 |
Medicare PECOS PAC ID | 8729404371 |
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Medicare Enrollment ID | O20200813002312 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659980605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jenny Mckay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295256543 PECOS PAC ID: 7315203502 Enrollment ID: I20171103000450 |
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