KINDRA K JACOBY P.A.
NPI 1295925642
Physician Assistant - Medical in Provo, UT

Q: What is Kindra Jacoby's NPI number?

The NPI number for Kindra Jacoby is 1295925642. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Q: What is Kindra Jacoby's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kindra Jacoby was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2007

280 WEST RIVER PARK DR., STE. #350, PROVO, UT 84604(801) 229-1014(801) 229-1067 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kindra K Jacoby P.a. NPPES

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

KINDRA K JACOBY P.A. (NPI 1295925642) is an individual medical provider in Provo, Utah, licensed in Utah (4992594-1206) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1295925642

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKINDRA K JACOBYCredential: P.A.

Location Address280 WEST RIVER PARK DR., STE. #350Provo, UT 84604

Mailing Address280 West River Park Dr., Ste. #350Provo, UT 84604 · (801) 229-1014 · Fax (801) 229-1067

Phone(801) 229-1014

Fax(801) 229-1067

Sole ProprietorNo

Enumeration DateJuly 31, 2007

✔ NPI 1295925642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in UT · 4992594-1206

280 WEST RIVER PARK DR., Provo, UT 84604

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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 Kindra Jacoby's NPI number?

The NPI number for Kindra Jacoby is 1295925642. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Kindra Jacoby located?

Kindra Jacoby practices at 280 West River Park Dr. Ste. #350, Provo, UT 84604. The listed phone number is (801) 229-1014.

What is Kindra Jacoby's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kindra Jacoby was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.