| Elizabeth A Kelly, MD | |
|
6272 Highland Dr, Salt Lake City, UT 84121-2126 | |
| (801) 871-6300 | |
| (801) 871-6320 |
| Full Name | Elizabeth A Kelly |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 19 Years |
| Location | 6272 Highland Dr, Salt Lake City, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851587653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 6851455-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lds Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Kelly, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 871-6300 | Elizabeth A Kelly, MD 6272 Highland Dr, Salt Lake City, UT 84121-2126 Ph: (801) 871-6300 |
Craig M. Moffat, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8163 Fax: 801-355-4011 | |
Michell Marola Lozano Chinga, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4700 | |
Dr. Matt A. Szaniawski, MD, PHD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-581-2121 | |
Erik Newman, Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Salt Lake City, UT 84132 Phone: 801-581-6465 | |
Dr. Robert Silge, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2000 S 900 E, Salt Lake City, UT 84105 Phone: 801-464-7510 | |
Dr. Edwin Ansell Bronsky, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3700 E Millstream Dr, Salt Lake City, UT 84109 Phone: 801-277-6060 |