MEDICARE: KYALEE JADE VANDAM PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	14265499-1206	UT

General Provider Information

NPI Number	:	1851271811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYALEE JADE VANDAM PA

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W LAYTON PKWY STE 1A
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-3692
Country	:	US
Telephone Number	:	801-543-6875
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	01/30/2026

Similar Medicare Providers

1891456141 — WHITNEY P MARTINEZ CNM
Practice Location Address:

201 W LAYTON PKWY STE 2B
LAYTON, UT
84041-3692

Practice Phone: 801-543-6850
Practice Fax:

1639714082 — VASANTH JAYARAMAN PA
Practice Location Address:

201 W LAYTON PKWY
LAYTON, UT
84041-3692

Practice Phone: 801-543-6000
Practice Fax:

1295716918 — DR. TODD JAY MAY D.O.
Practice Location Address:

201 W LAYTON PKWY STE 1A
LAYTON, UT
84041-3692

Practice Phone: 801-543-6775
Practice Fax:

1225032949 — DR. NEIL O. SPENCER M.D.
Practice Location Address:

201 W LAYTON PKWY STE 2B
LAYTON, UT
84041-3692

Practice Phone: 801-543-6850
Practice Fax:

1871583161 — MS. JENNY REBECCA SMITH MPT
Practice Location Address:

201 W LAYTON PKWY
LAYTON, UT
84041-3692

Practice Phone: 801-453-6070
Practice Fax:

1659322261 — KATHY L WATKINS
Practice Location Address:

201 W LAYTON PKWY STE 2B
LAYTON, UT
84041-3692

Practice Phone: 801-543-6850
Practice Fax:

Directions to “ KYALEE JADE VANDAM PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.