KATIE ELAINE RIDGE MCKINNON

PROVO, UT
NPI1811624513
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  13072448-1206)
Enumeration Date2022-08-02
Last Update Date2023-01-08
Business Address
KATIE ELAINE RIDGE MCKINNON
1900 N STATE ST STE 105
PROVO, UT 84604-1354
Phone number: 801-655-5245
Mailing Address
KATIE ELAINE RIDGE MCKINNON
1281 CHERRY LN
PROVO, UT 84604-3622
Phone number: 909-915-4077
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