| Kelly Allan Gomez, DPM | |
|
777 N 500 W, Suite 103, Provo, UT 84601 | |
| (801) 375-6677 | |
| (801) 375-0346 |
| Full Name | Kelly Allan Gomez |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 777 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821021957 | NPI | - | NPPES |
| 000064004 | Other | UT | MEDICARE PTAN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 367951 (Utah) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 367951 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Allan Gomez, DPM 777 N 500 W, Suite 103, Provo, UT 84601 Ph: (801) 375-6677 | Kelly Allan Gomez, DPM 777 N 500 W, Suite 103, Provo, UT 84601 Ph: (801) 375-6677 |
Summit Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3355 N University Ave Ste 175, Provo, UT 84604 Phone: 801-377-5649 |
Tanner Luke, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1001 N 500 W, Provo, UT 84604 Phone: 877-674-1211 |
David Jaramillo, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3355 N University Ave Ste 175, Provo, UT 84604 Phone: 801-377-5649 |
Hammond Foot And Ankle Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 365 W. 2230 N., Suite 103, Provo, UT 84604 Phone: 801-377-2274 |
Todd Joseph Jaramillo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1355 N University Ave Ste 125, Provo, UT 84604 Phone: 801-374-3010 Fax: 801-377-2426 |
Dr. Scott Brett Humpherys, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1928 N 1120 W, Provo, UT 84604 Phone: 801-225-3095 Fax: 801-374-6254 |
Dr. James Thomas Ross, DPM, PT Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1015 Canyon Meadow Dr, # 5, Provo, UT 84606 Phone: 801-356-1733 |