Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY R AVERETT, PA-C
ActivePhysician Assistant · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1306198924
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2012 (13.543782739657 yrs)
- Last Updated
- Feb 20, 2025
- License
-
4850503-1206 (UT)
Practice Information
- Address
-
1200 E 3900 S UNIT G175SALT LAKE CITY, UT, 841241300Browse UT providers · Browse ZIP 84124
- Phone
- 8012687405
- Fax
- 8012687435
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MR. CHRIS LINDSEY | PA-C | 1689671737 |
| DAVID S ANDERSON | PAC | 1356342539 |
| NAOMI RUTH LAIRD | PA-C | 1053303420 |
| MR. ROBERT TOTH | PA-C, ATC | 1386637940 |
| MR. SEAN PATRICK STROPE | PA-C | 1922092147 |
| TANYA CHESLEY | PA-C | 1477541506 |
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.