Paul Kezerian, PA-C, PT is a
Physician Assistant based in Salt Lake City, Utah. Paul Kezerian is licensed to practice in Utah (license number 11289480-1206) and his current practice location is
50 N Medical Dr, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 721-6264.
NPI number for Paul Kezerian is 1922774215 and his current mailing address is 50 N Medical Dr, Salt Lake City, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922774215.
Healthcare Provider's Profile
| Full Name | Paul Kezerian |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 50 N Medical Dr, Salt Lake City, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922774215
- Provider Enumeration Date: 08/18/2021
- Last Update Date: 07/07/2026
Medical Identifiers
Medical identifiers for Paul Kezerian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922774215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 11289480-1206 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Kezerian is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Paul Kezerian, PA-C, PT 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: () - | Paul Kezerian, PA-C, PT 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 721-6264 |
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