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Contact Information

STEVEN M KELLY, MD
1551 RENAISSANCE TOWNE DR
SUITE 310
BOUNTIFUL, UT84010-7667
 Phone: 801-295-5581
 Fax: 801-295-9253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for STEVEN M KELLY · (Male)

NPI Number 1841348240
Status Active
Credentials MD
Entity Individual
Enumeration date 01/08/2007
Last updated 11/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 182660-1205
  • ID Medicaid 003084400
  • WY Medicaid 110583300
Hospital affiliation(s) Not Available
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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