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

Kelly L Hamblin, DPM

Individual provider Podiatrist · NPI 1770515926

Kelly L Hamblin, DPM is a Podiatry in West Jordan, Utah. Graduated from California School of Podiatric Medicine in 2003, 23 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
23
Trained at
California School of Podiatric Medicine
Licensed in
UT
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3181 W 9000 S
West Jordan, UT 84088-5610
Phone: (801) 965-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2751 W 9000 S, West Jordan, UT 84088 — (801) 352-5900

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 333413-0501 (UT)

Record details

NPI number1770515926
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2003 (23 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Jordan