Search › Utah › 1223G0001X
Randall Kelley, D.M.D
NPI 1538387154 · on the registry since 2007
Practice
- Address
- 275 N 500 W
Suite C
Provo, UT 84601 - Phone
- (801) 374-5768
- Fax
- (801) 375-3598
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah