Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295925642 Individual Practitioner Female Practitioner

Kindra K Jacoby , PA

Physician Assistant - Medical • Provo, UT

Professional Overview & Biography Verified Profile Summary

Kindra Jacoby, PA is a registered healthcare professional specializing in Physician Assistant - Medical in Provo, UT. Practice services are available at 280 WEST RIVER PARK DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

280 West River Park Dr.
Ste. #350

Provo, UT 84604

Telephone 8012291014
Fax 8012291067
Associated Practice Facility / Clinic
🏢 Pamela L. Vincent, Md Corp Facility NPI 1831394881

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
18 Specialists

Practicing in Provo, UT (381 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License UT 4992594-1206

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1104895069

Doctor of Naturopathic Medicine

Dr. Patricia Henrie , PhD, LPC

Counselor - Mental Health

NPI 1407917537

Doctor of Philosophy (Ph.D.), Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 31, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2007

Registered at 280 WEST RIVER PARK DR., STE. #350, PROVO, UT 84604 (Tel: 8012291014)

📍
Updated Business Mailing Address July 31, 2007

Registered at 280 WEST RIVER PARK DR., STE. #350, PROVO, UT 84604 (Tel: 8012291014)

👤
Provider Name / Credentials Updated July 31, 2007

Recorded as KINDRA JACOBY, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2007

Physician Assistant (License #4992594-1206 in UT)

🟢
Initial NPI Registration & Enumeration July 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295925642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2007
Last Update: July 31, 2007
Sole Proprietor: No

Mailing Address

280 West River Park Dr., Ste. #350

Provo, UT 84604

Phone: 8012291014

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.