Kathryn Klossner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1680 W Reunion Ave Ste 5a
South Jordan, UT 84095-4620

Phone

(801) 809-4482

NPI assigned

Aug 10, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert B Topham, MD

  • Dermatology Physician
  • Holladay, UT
  • NPI 1144290479
  Medicare reassignment
• Robert B Topham

  dba Holladay Dermatology & Aesthetics

  • Dermatology Physician
  • Holladay, UT
  • NPI 1124679949
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1053094524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 S GENEVA RD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586085",
            "telephone_number": "801-809-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W REUNION AVE STE 5A",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954620",
            "telephone_number": "801-809-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSSNER",
        "first_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Arthur King, D.D.S.
• Zachary B King, DC
• Matthew L Kjar, DMD
• Henry Klein, M.D.
• Brent William Klev, APRN
• Stephanie Alex Kole
• Jamie Henriksen Kowalk
• Jedediah Douglas Kowalski, APRN
• Erin Elizabeth Krauskopf, PH.D.
• Kristen C. Krueger, D.C.

• Physician Assistant in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.