Individual
DR. STEVEN MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 RENAISSANCE TOWNE DR, SUITE 310, BOUNTIFUL, UT 84010-7667
(801) 295-5581
(801) 295-9253
Mailing address
2255 N 1700 W, SUITE 200, LAYTON, UT 84041-1140
(801) 776-2180
(801) 776-2534
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
182660-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003084400
—
ID
05
—
110583300
—
WY
Enumeration date
01/08/2007
Last updated
11/03/2021
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