| Veronica Marie Kitchens, | |
|
8446 S Harrison St, Midvale, UT 84047-3501 | |
| (801) 417-0131 | |
| Not Available |
| Full Name | Veronica Marie Kitchens |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 8446 S Harrison St, Midvale, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760034029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 119570781206 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Entity Name | Utah Partners for Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508299892 PECOS PAC ID: 8224262480 Enrollment ID: O20131002000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Veronica Marie Kitchens, 1514 S Lincoln St, Salt Lake City, UT 84105-2320 Ph: (801) 657-8630 | Veronica Marie Kitchens, 8446 S Harrison St, Midvale, UT 84047-3501 Ph: (801) 417-0131 |
David Figueroa, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 |
Miss Nicole Marie Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7302 S Bingham Junction Blvd, Midvale, UT 84047 Phone: 801-442-5502 |
Lynn Don Falkner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 |
Mr. Patrick Barde Lang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 South. State Street, Midvale, UT 84047 Phone: 801-213-9400 |
Wendy Marie Macey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 |
Ms. Erin Lee Dame, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7171 S 420 E, Midvale, UT 84047 Phone: 617-930-9302 |
Brenda Espitia, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 7651 S Main St, Midvale, UT 84047 Phone: 801-417-0131 |