Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mackenzie Kelly, MD

Individual provider Orthopaedic Surgery Physician · NPI 1942761580

Dr. Mackenzie Kelly, MD is an Orthopedic Surgery in Salt Lake City, Utah. Graduated from Oregon Health Sciences University School of Medicine in 2019, 7 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Oregon and Utah.

Years since qualifying
7
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
IL, OR, UT
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 581-2121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 — (503) 494-8211

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 14210189-1205 (UT)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence PG198843 (OR)
Surgery Physician Taxonomy 208600000X · Licence 125.073820 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942761580
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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