Soutsada Konesavanh, PA-C

Individual Active
NPI 1417108606
Medical Physician Assistant Salt Lake City, UT

Soutsada Konesavanh, PA-C holds NPI 1417108606, with a primary taxonomy of medical physician assistant and a practice location in Salt Lake City, UT. The number was issued on October 6, 2008 and the NPPES record was last updated on November 17, 2021. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 7138480-1206 (UT)
Physician Assistant 363A00000X 7138480-1206 (UT)

Practice location

100 Mario Capecchi Dr
Salt Lake City, UT 84112-8924
Phone: (801) 585-2341

Local context

Active NPPES records list 226 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 141 of them within 10 miles.

The same primary taxonomy is listed by 380 in Utah and 40,084 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Soutsada Nikki Konesavanh
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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