| 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| 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  |