Individual
TODD WILLIAM KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 CHIPETA WAY, ARUP LABORATORIES, MEDICAL DIRECTORS, SALT LAKE CITY, UT 84108-1221
(801) 583-2787
(801) 585-3831
Mailing address
500 CHIPETA WAY, ARUP LABORATORIES, MEDICAL DIRECTORS, SALT LAKE CITY, UT 84108-1221
(801) 583-2787
(801) 585-3831
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.087190
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
6508197-1205
UT
Other
Enumeration date
05/31/2007
Last updated
08/01/2007
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