Christopher P Kelly, MD is a
Surgery - Plastic And Reconstructive Surgery physician based in South Jordan, Utah. Christopher P Kelly is licensed to practice in Utah (license number 9258138-1205) and his current practice location is 11464 S Parkway Plaza Dr Ste 300, South Jordan, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 987-8653.
NPI number for Christopher P Kelly is 1720122583 and his current mailing address is 11464 S Parkway Plaza Dr Ste 300, South Jordan, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720122583.
Physician's Profile
| Full Name | Christopher P Kelly |
|---|
| Gender | Male |
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| Speciality | Surgery - Plastic And Reconstructive Surgery |
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| Location | 11464 S Parkway Plaza Dr Ste 300, South Jordan, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720122583
- Provider Enumeration Date: 02/16/2007
- Last Update Date: 01/08/2018
Medical Identifiers
Medical identifiers for Christopher P Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720122583 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 9258138-1205 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christopher P Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Christopher P Kelly, MD 11464 S Parkway Plaza Dr Ste 300, South Jordan, UT 84095-6053 Ph: (801) 987-8653 | Christopher P Kelly, MD 11464 S Parkway Plaza Dr Ste 300, South Jordan, UT 84095-6053 Ph: (801) 987-8653 |
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