MISS KATHRYN RENEE MARSHALL (P.A.-C) – Medical Physician Assistant, NPI 1174683775

MISS KATHRYN RENEE MARSHALL (P.A.-C) is a healthcare provider. based in South jordan, Utah. specializing in Medical Physician Assistant. They hold the professional credentials P.A.-C. They hold a License No. C0002238 (MD). The NPI Number for MISS KATHRYN RENEE MARSHALL (P.A.-C) is 1174683775

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MISS KATHRYN RENEE MARSHALL (P.A.-C)
NPI
1174683775
Phone
(801) 566-4242
Address
10623 S REDWOOD RD
Enumeration Date
12 December 2006
Last Update Date
30 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015079800
Graduation Year
1998 (28 years ago)
PAC ID
1951677251
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20171031001781
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for MISS KATHRYN RENEE MARSHALL (P.A.-C)

  • South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States

    SUITE 101

    SOUTH JORDAN, UT 840952481

    Phone: (801) 566-4242

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84095)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850209420View full group profile

Reviews

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Frequently asked questions

What is the registry number for MISS KATHRYN RENEE MARSHALL (P.A.-C)?
The registry entry for MISS KATHRYN RENEE MARSHALL (P.A.-C) shows NPI 1174683775.
Quick check: is MISS KATHRYN RENEE MARSHALL (P.A.-C) active?
Public NPPES data shows MISS KATHRYN RENEE MARSHALL (P.A.-C) with an active NPI status right now.
What does the directory say MISS KATHRYN RENEE MARSHALL (P.A.-C) does?
Insurance directories may phrase it differently, but here MISS KATHRYN RENEE MARSHALL (P.A.-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MISS KATHRYN RENEE MARSHALL (P.A.-C)?
MISS KATHRYN RENEE MARSHALL (P.A.-C) shows a connection to South Jordan, Utah in registry-derived data.
Why is information missing for MISS KATHRYN RENEE MARSHALL (P.A.-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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