Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Marie Daly-Wolfe, PA-C, RDN

Individual provider Medical Physician Assistant · NPI 1003334525

Kelly Marie Daly-Wolfe, PA-C, RDN is a Physician Assistant in Provo, Utah. Qualified in 2017, 9 years ago. Practices with Mountainlands Community Health Center Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

750 N 200 W
Provo, UT 84601-1677
Phone: (801) 429-2000
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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 8423560-1206 (UT)

Record details

NPI number1003334525
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , RDN
Sole proprietorYes
NPI enumeratedSeptember 5, 2017
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mountainlands Community Health Center Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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