WALTER E. KELLEY (NPI# 1588708960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588708960 |
| Entity Type | Individual |
| Full Name | WALTER E. KELLEY |
| Credential | DO |
| Practice Address |
6616 S 900 E Salt Lake City UT 84121-2492 |
| Practice Telephone | 8018924001 |
| Mailing Telephone | 8018924001 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2015-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
DO1987 | NV | Allopathic & Osteopathic Physicians |
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
9347417-1204 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
6616 S 900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-2492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942735238 | Emilia Calvaresi | Pathology | 15 Medical Dr, Ste 1100, Salt Lake City, UT 84112-1100 | 2017-04-25 |
| 1346636164 | Brittany Young | Pathology | University Hospital, 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2015-04-08 |
| 1871904565 | Joy Roman | Pathology | 15 Medical Dr, Salt Lake City, UT 84112-1100 | 2014-05-15 |
| 1295154367 | Brandy Pownell | Pathology | 15 Medical Dr, Salt Lake City, UT 84112 | 2014-04-15 |
| 1396163093 | Rebecca Millar Harris | Pathology | 500 S Chipeta Way, Arup Laboratories, Salt Lake City, UT 84108-1221 | 2014-04-01 |
| 1821357526 | Maggie L Hopkins | Pathology | 15 Medical Dr, Emma Eccles Jones Medical Suite 1100, Salt Lake City, UT 84112-1100 | 2012-05-15 |
| 1225349525 | David Jacob Fjeldsted | Pathology | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2010-07-01 |
| 1952565442 | Stanley Mark Huff | Pathology | 4646 Lake Park Blvd, Salt Lake City, UT 84120-8212 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801101373 | Gregory C Critchfield | Pathology | 6170 Murdoch Woods Pl, Holladay, UT 84121-2206 | 2010-08-09 |
| City | SALT LAKE CITY |
| Zip Code | 84121 |
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| 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.