Individual
ELIZABETH A. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6272 HIGHLAND DR, SALT LAKE CITY, UT 84121-2126
(801) 871-6300
(801) 871-6320
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 871-6300
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
6851455-1205
UT
Other
Enumeration date
09/15/2007
Last updated
09/04/2012
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