Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MARVIN JEPPESEN, MD
ActiveKELLY MARVIN JEPPESEN, MD is a Family Medicine healthcare provider located in MONTICELLO, Utah. NPI 1568790558 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MONTICELLO, UT
Registration Details
- NPI Number
- 1568790558
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2009 (16.695575964217 yrs)
- Last Updated
- Aug 6, 2015
- License
-
7730032-1205 (UT)
Practice Information
- Address
-
380 WEST 100 NORTHSUITE AMONTICELLO, UT, 845351054Browse UT providers · Browse ZIP 84535
- Phone
- 4355875054
- Fax
- 4355873004
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MONTICELLO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL R. REAY | D.O. | 1902873425 |
| DR. DOUGLAS ZEB CROFTS | DO | 1588924658 |
| MICHAEL RAY NIELSON | D.O. | 1700225679 |
| JEANNE WIGANT | MD | 1942736087 |
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.