KELLI JEAN MOYLAN


Address: 5121 S Cottonwood St, Murray, UT 84107-5701
Phone: 8015079700

KELLI JEAN MOYLAN (NPI# 1144778192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144778192
Entity Type Individual
Full Name KELLI JEAN MOYLAN
Credential PA-C
Practice Address 5121 S Cottonwood St
Murray
UT 84107-5701
Mailing Address 1352 E Waters Ln
Sandy
UT 84093-2226
Practice Telephone 8015079700
Mailing Telephone 8502121040
Enumeration Date 2016-09-20
Last Update Date 2016-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
10094033-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5121 S COTTONWOOD ST
City MURRAY
State UT
Zip Code 84107-5701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609873595 Sarah Dawn Majercik Surgery 5121 S Cottonwood St, Murray, UT 84107-5701 2005-07-07
1093312183 Cherysh Hubbard Stock Obstetrics & Gynecology 5121 S Cottonwood St, Murray, UT 84107-5701 2020-10-02
1922605062 Sydney Schuessler Occupational Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-10-01
1790398931 Elayne Manuela Pereira Physical Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-08-27
1205449436 Jared Hunt Physical Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-08-27
1386256428 Sarah Emily Boyt Dietitian, Registered 5121 S Cottonwood St, Murray, UT 84107-5701 2020-08-19
1972111417 Megan Neiheiser Occupational Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-07-21
1114535515 Cory Ray Briggle Occupational Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-07-21
1528676509 Melanie Nicole Emmerson Genetic Counselor, MS 5121 S Cottonwood St, Murray, UT 84107-5701 2020-07-16
1205452844 Kendall Snyder Genetic Counselor, MS 5121 S Cottonwood St, Murray, UT 84107-5701 2020-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
Find all providers in zip 84107

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770929036 Hayley Dawn Kemp Physician Assistant 5121 Cottonwood Street, Trauma Services, Murray, UT 84121-7552 2013-05-14
1669669388 Theresa K Kulikowski Physician Assistant 5323 S Woodrow Street, Suite 200, Murray, UT 84107-5841 2007-09-26
1982739199 Richard Jonathan Greene Physician Assistant 300 S 8th St Ste 374w, Murray, KY 42071-2446 2007-02-21
1174617773 Meghan Lynn Smith Physician Assistant 5323 South Woodrow St., Sutie #102, Murray, UT 84107 2006-10-03
1306939350 Kristin Gale Goeller Physician Assistant 5770 S 250 E Ste 415, Murray, UT 84107 2006-10-02
1932674413 Hannah Stark Physician Assistant 181 E Medical Tower Dr, Murray, UT 84107-4872 2018-10-10
1063992022 Fernando Rivero Physician Assistant 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 2018-08-20
1578096897 Kelsey Gaid Physician Assistant 5169 S Cottonwood St Ste 320, Murray, UT 84107-6768 2017-04-04
1407398639 Laura Elise Juarez Physician Assistant 5121 S Cottonwood St, Murray, UT 84107-5701 2016-11-04
1417346172 Linda Dinh Smith Physician Assistant 300 S 8th St, Suite 182 West, Murray, KY 42071-2400 2015-01-20
Find all providers in MURRAY

Competitor

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City MURRAY
Zip Code 84107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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