Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kindra K Jacoby, PA

Individual provider Medical Physician Assistant · NPI 1295925642

Kindra K Jacoby, PA is a Medical Physician Assistant in Provo, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

280 W River Park Dr Ste #350
Provo, UT 84604
Phone: (801) 229-1014
Fax: (801) 229-1067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4992594-1206 (UT)

Record details

NPI number1295925642
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 31, 2007
Last updated in NPPESJuly 31, 2007

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