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Kelli Elaine Groomer, PA
Medical Physician Assistant in Salt Lake City, Utah
NPI 1568412724

Kelli Elaine Groomer is a Medical Physician Assistant based in Salt Lake City, UT and is specialized in Medical. Kelli Elaine Groomer practices in Salt Lake City, UT and has the professional credentials of PA. The NPI Number for Kelli Elaine Groomer is 1568412724 and holds a License No. 6063472-1206 (Utah).

The current practice location address for Kelli Elaine Groomer is 8 Th Ave & C St, Salt Lake City, UT and can be reached out via phone at 801-408-3729.

Location: 8 Th Ave & C St, Salt Lake City, UT, 84127-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568412724
Provider Name
Kelli Elaine Groomer
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
8 Th Ave & C St, Salt Lake City, UT, 84127-0128
Phone Number
801-408-3729
Fax Number
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86519 01 PEHP #
26837 01 ALTIUS #
100507903 05 NV
institution
Provider Business Practice Location Address Details
Address
8 Th Ave & C St
City
Salt Lake City
State
Utah
Zip
84143-0001
Phone Number
801-408-3729
Fax Number
person
Provider Business Mailing Address Details
Address
8 Th Ave & C St
City
Salt Lake City
State
Utah
Zip
84143-0001
Phone Number
801-408-3729
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
6063472-1206 (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
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
6063472-1206 (Utah)
Definition
Definition to come...
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