| Katrien Jack, PA-C | |
|
1351 W 200 N, Kaysville, UT 84037 | |
| (801) 383-3420 | |
| (801) 383-3421 |
| Full Name | Katrien Jack |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1351 W 200 N, Kaysville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366024390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 13028685-1206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Katrien Jack, PA-C Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500 | Katrien Jack, PA-C 1351 W 200 N, Kaysville, UT 84037 Ph: (801) 383-3420 |
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 | |
Cynthia S Jenkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 Saratoga Ct, Kaysville, UT 84037 Phone: 602-501-6394 | |
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 |