Edward Leslie Kelly, MD
Edward Leslie Kelly, MD is a Psychiatry in Provo, Utah. Qualified in 1992, 34 years ago. Practices with State of Utah, a 31-clinician group and accepts Medicare assignment. Licensed in Minnesota, Nebraska, Utah and Washington.
- Years since qualifying
- 34
- Licensed in
- MN, NE, UT, WA
- In the registry since
- 2006
- Specialties on file
- 8
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1300 E Center StProvo, UT 84606-3554
Phone: (801) 344-4400
Fax: (801) 344-4225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Forensic Psychiatry Physician (primary) | Taxonomy 2084F0202X · Licence 10382404-1205 (UT) |
|---|---|
| Forensic Psychiatry Physician | Taxonomy 2084F0202X · Licence 26951 (NE) |
| Forensic Psychiatry Physician | Taxonomy 2084F0202X · Licence 42929 (MN) |
| Forensic Psychiatry Physician | Taxonomy 2084F0202X · Licence MD00040860 (WA) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 26951 (NE) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence MD00040860 (WA) |
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X · Licence MD00040860 (WA) |
| Geriatric Psychiatry Physician | Taxonomy 2084P0805X · Licence MD00040860 (WA) |
Record details
| NPI number | 1013995471 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 5, 2006 |
| Last updated in NPPES | March 24, 2025 |
| Certification date | March 24, 2025 |
Medicare enrollment
| Medicare specialty | PSYCHIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 1992 (34 years in practice) |
| Group practice | State Of Utah — 31 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Provo
-
Michael Benson, MD
1300 E Center St, Provo, UT 84606-3554 · (801) 344-4400
-
Aaron James Hunt, MD
1300 E Center St, Provo, UT 84606-3554 · (801) 344-4400