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Kenneth Lynn Holt JR., PA-C
Physician Assistant in Provo, Utah
NPI 1467180463

Kenneth Lynn Holt JR. is a Physician Assistant based in Park City, UT. Kenneth Lynn Holt JR. practices in Provo, UT and has the professional credentials of PA-C. The NPI Number for Kenneth Lynn Holt JR. is 1467180463 and holds a License No. (Utah).

The current practice location address for Kenneth Lynn Holt JR. is 122 E 1700 S Bldg 1, Provo, UT and can be reached out via phone at 801-375-5125.

Location: 122 E 1700 S Bldg 1, Provo, UT, 84098-4715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467180463
Provider Name
Kenneth Lynn Holt JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
122 E 1700 S Bldg 1, Provo, UT, 84098-4715
Phone Number
801-375-5125
Fax Number
Provider Enumeration Date
08/09/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
122 E 1700 S Bldg 1
City
Provo
State
Utah
Zip
84606-5644
Phone Number
801-375-5125
Fax Number
person
Provider Business Mailing Address Details
Address
122 E 1700 S Bldg 1
City
Provo
State
Utah
Zip
84606-5644
Phone Number
801-375-5125
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
13600727-1206 (Utah)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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