Whalio Doctors

NPI 1013995471

Edward Leslie Kelly, MD

Practitioner Forensic Psychiatry Physician Provo, UT

Practice location

Address
1300 E Center St, Provo, UT 84606-3554
Phone
(801) 344-4400
Fax
(801) 344-4225
Mailing address
PO Box 270, Provo, UT 84603-0270

Registered specialties (8)

Forensic Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084F0202X Licence 10382404-1205 (UT)
Forensic Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084F0202X Licence 26951 (NE)
Forensic Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084F0202X Licence 42929 (MN)
Forensic Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084F0202X Licence MD00040860 (WA)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 26951 (NE)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence MD00040860 (WA)
Child & Adolescent Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence MD00040860 (WA)
Geriatric Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0805X Licence MD00040860 (WA)

Registry record

NPI
1013995471
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jan 2006
Record last updated
24 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.