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

Gerald Kelty, PA-C

Individual provider Medical Physician Assistant · NPI 1417989823

Gerald Kelty, PA-C is a Physician Assistant in Salt Lake City, Utah. Qualified in 1997, 29 years ago. Practices with Foothill Clinic LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
29
Licensed in
UT
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2295 Foothill Dr
Salt Lake City, UT 84109-4000
Phone: (801) 486-3021
Fax: (801) 485-6339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1972371206 (UT)

Record details

NPI number1417989823
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Foothill Clinic Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Salt Lake City