CHRISTOPHER P KELLY MD NPI 1720122583

NPI Information

  • NPI: 1720122583
  • Provider Name: CHRISTOPHER P KELLY, MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • Address: 11464 S PARKWAY PLAZA DR STE 300
    SOUTH JORDAN, UT
    ZIP 84095
  • Phone: (801) 987-8653

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NPI Details

Christopher P Kelly, MD is a plastic and reconstructive surgery surgery in South Jordan, UT. The provider is a surgeon who specializes in plastic and reconstructive surgery. Christopher P Kelly, MD NPI is 1720122583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11464 S PARKWAY PLAZA DR STE 300
SOUTH JORDAN, UT
ZIP 84095-053
Phone: (801) 987-8653

The enumeration date for this NPI number is 2/16/2007 and was last updated on 1/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery9258138-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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