DR. KELLY A KELSEY (NPI# 1366433559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366433559 |
| Entity Type | Individual |
| Full Name | DR. KELLY A KELSEY |
| Credential | PHARM.D. |
| Practice Address |
257 E 200 S Suite 600 Salt Lake City UT 84111-2048 |
| Mailing Address |
2780 Nora Dr Salt Lake City UT 84124-2026 |
| Practice Telephone | 8014154459 |
| Mailing Telephone | 8012742782 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2011-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
03-1-20645 | OH | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
377087-1701 | UT | Pharmacy Service Providers |
| Street Address |
257 E 200 S SUITE 600 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447424916 | Jonathan Douglas Hoffman | Pharmacist | George E Wahlen Department of Veterans Ctr, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2008-04-16 |
| 1124207493 | Kim Dang | Pharmacist | 50 N Medical Dr Rm A050, Salt Lake City, UT 84132-0001 | 2007-11-02 |
| 1376766279 | Brian Barker | Pharmacist | 50 North Medical Drive (a050), University of Utah Hospital Dept of Pharmacy, Salt Lake City, UT 84123 | 2007-04-10 |
| 1093841272 | Elise Swenson | Pharmacist | 220 S 700 E, Salt Lake City, UT 84102-2106 | 2007-02-24 |
| 1699705558 | Bonnie Kathleen Portley | Pharmacist | Pharmacy Services #119, 500 Foothill Blvd., Salt Lake City, UT 84148-0001 | 2006-07-04 |
| 1801872569 | Jody S. Neuman | Pharmacist | 4543 Zarahemla Dr, Salt Lake City, UT 84124-4039 | 2005-12-15 |
| 1275514994 | Kenneth Conrad Jackson II | Pharmacist | 546 Chipeta Way, Suite 220, Salt Lake City, UT 84108-1236 | 2005-11-09 |
| 1801887757 | Vicky Y. Digregorio | Pharmacist | 555 Foothill Dr, Madsen Health Center, Internal Medicine, Salt Lake City, UT 84112-1106 | 2005-10-31 |
| 1124014626 | Elizabeth Wolcott Young | Pharmacist | 30 S 2000 E, Rm 201, Salt Lake City, UT 84112-5820 | 2005-09-21 |
| 1932105939 | Laura Britton | Pharmacist | 127 S 500 E Ste 160, Salt Lake City, UT 84102-2091 | 2005-06-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on DR. KELLY A KELSEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.