MS. KATHY JANE PEDERSEN PA-C, MPAS
NPI 1265419022
Family Medicine in Salt Lake City, UT

Active since December 22, 2005
4745 S 3200 W, SALT LAKE CITY, UT 84118(801) 964-6214 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kathy Jane Pedersen Pa-c, Mpas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHY JANE PEDERSEN PA-C, MPAS (NPI 1265419022) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (102701-1206) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1265419022
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. KATHY JANE PEDERSENCredential: PA-C, MPAS
Location Address4745 S 3200 WSalt Lake City, UT 84118-2822
Mailing Address4745 S 3200 WSalt Lake City, UT 84118-2822 · (801) 964-6214 · Fax (801) 412-6950
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateJuly 19, 2007
NPI 1265419022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 102701-1206
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4745 S 3200 W, Salt Lake City, UT 84118

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
4745 S 3200 W, TAYLORSVILLE
SALT LAKE CITY, UT 84118
Family Medicine
4745 S 3200 W
SALT LAKE CITY, UT 84118
Physician Assistant
4745 S 3200 W
SALT LAKE CITY, UT 84118
Registered Nurse
4745 S 3200 W
SALT LAKE CITY, UT 84118
Family Medicine
4745 S 3200 W
SALT LAKE CITY, UT 84118
Family Medicine
4745 S 3200 W
SALT LAKE CITY, UT 84118
Physician Assistant
4745 S 3200 W
SALT LAKE CITY, UT 84118
Family Medicine
4745 S 3200 W
SALT LAKE CITY, UT 84118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Pedersen's NPI number?

The NPI number for Kathy Pedersen is 1265419022. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Kathy Pedersen located?

Kathy Pedersen practices at 4745 S 3200 W, Salt Lake City, UT 84118. The listed phone number is (801) 964-6214.

What is Kathy Pedersen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kathy Pedersen was last updated on July 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.