Individual
KELLY ALLAN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
777 N 500 W, SUITE 103, PROVO, UT 84601
(801) 375-6677
(801) 375-0346
Mailing address
777 N 500 W, SUITE 103, PROVO, UT 84601
(801) 375-6677
(801) 375-0346
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
367951
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
367951
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000064004
MEDICARE PTAN #
UT
Enumeration date
07/09/2006
Last updated
01/14/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us