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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDWARD LESLIE KELLY, MD

Active

EDWARD LESLIE KELLY, MD is a Forensic Psychiatry healthcare provider located in PROVO, Utah. NPI 1013995471 is currently active in the NPPES registry. Verify at CMS.

Forensic Psychiatry · PROVO, UT

Registration Details

NPI Number
1013995471
Provider Type
Individual
Gender
Male
NPI Issued
Jan 5, 2006 (20.57485948322 yrs)
Last Updated
Mar 24, 2025
Licenses
26951 (NE)
42929 (MN)
MD00040860 (WA)
26951 (NE)
MD00040860 (WA)

Practice Information

Address
1300 E CENTER ST
PROVO, UT, 846063554
Browse UT providers · Browse ZIP 84606
Phone
8013444400
Fax
8013444225
Primary Specialty
Forensic Psychiatry
2084F0202X
Additional Specialty
Forensic Psychiatry
Additional Specialty
Forensic Psychiatry
Additional Specialty
Psychiatry
Additional Specialty
Psychiatry

Other Forensic Psychiatry Providers in PROVO, UT

Name Credential NPI
AARON JAMES HUNT M.D. 1780731679
MICHAEL BENSON MD 1538797659
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.