Individual
WALTER E. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6616 S 900 E, SALT LAKE CITY, UT 84121-2492
(801) 892-4001
Mailing address
6616 S 900 E, SALT LAKE CITY, UT 84121-2492
(801) 892-4001
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
9347417-1204
UT
207ZC0006X
Clinical Pathology Physician
DO1987
NV
Other
Enumeration date
02/17/2007
Last updated
06/04/2015
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