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

DR. STEVEN ELLSWORTH KELLY, MD

Active Sole Proprietor

DR. STEVEN ELLSWORTH KELLY, MD is a Dermatology healthcare provider located in SARATOGA SPRINGS, Utah. NPI 1154809002 is currently active in the NPPES registry. Verify at CMS.

Dermatology · SARATOGA SPRINGS, UT

Registration Details

NPI Number
1154809002
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2018 (8.0046183801227 yrs)
Last Updated
Feb 13, 2023
License
12750920-1205 (UT)
Sole Proprietor
Yes

Practice Information

Address
62 E THRIVE DR STE 220
SARATOGA SPRINGS, UT, 840455560
Browse UT providers · Browse ZIP 84045
Phone
8017688800
Fax
8018208200
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in SARATOGA SPRINGS, UT

Name Credential NPI
THOMAS K BARLOW D.O. 1912059007
JORDAN ROBERT HARRIS D.O. 1285998484
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.