National Provider Identifier Database

EDWARD L KELLY, MD – NPI #1013995471
Forensic Psychiatry

Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.


Contact Information

EDWARD L KELLY, MD
1300 E CENTER ST
PROVO, UT84606-3554
Phone: 801-344-4400
Fax: 801-344-4225
Website:
Specialty Taxonomy Code
* Forensic Psychiatry 2084F0202X
Child & Adolescent Psychiatry 2084P0804X
Geriatric Psychiatry 2084P0805X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for EDWARD L KELLY

NPI Number 1013995471
Credentials MD
Entity Individual
Enumeration date 01/05/2006
Last updated 03/24/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • MN License #: 42929
  • NE License #: 26951
  • UT License #: 10382404-1205
  • WA License #: MD00040860
  • WA Medicaid: 1013995471
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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