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

Kelly Marvin Jeppesen, MD

Individual provider Family Medicine Physician · NPI 1568790558

Kelly Marvin Jeppesen, MD is a Family Practice in Monticello, Utah. Qualified in 2009, 17 years ago. Practices with San Juan County Hospital, a 19-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
17
Licensed in
UT
In the registry since
2009
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

380 W 100 N Ste A
Monticello, UT 84535-1054
Phone: (435) 587-5054
Fax: (435) 587-3004
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7730032-1205 (UT)

Record details

NPI number1568790558
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 2, 2009
Last updated in NPPESAugust 6, 2015

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice San Juan County Hospital — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Monticello