Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MACKENZIE KELLY, MD
ActiveDR. MACKENZIE KELLY, MD is a Sports Medicine (Orthopaedic) healthcare provider located in SALT LAKE CITY, Utah. NPI 1942761580 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1942761580
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2019 (7.2393089858396 yrs)
- Last Updated
- Dec 29, 2025
- Licenses
-
PG198843 (OR)14210189-1205 (UT)125.073820 (IL)
Practice Information
- Address
-
590 S WAKARA WAYSALT LAKE CITY, UT, 841081200Browse UT providers · Browse ZIP 84108
- Phone
- 8015812121
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
- Additional Specialty
- General Surgery
- Additional Specialty
- Student (Health Education/Training)
Other Sports Medicine (Orthopaedic) Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL H BOURNE | MD | 1073505582 |
| DR. BRUCE G EVANS | M.D. | 1942292446 |
| DR. E MARC MARIANI | MD | 1760474266 |
| KIM C BERTIN | MD | 1568456242 |
| CHRISTOPHER L. PETERS | MD | 1407946023 |
| MICHAEL CHAD MAHAN | M.D. | 1811316847 |
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.