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

Mark Christopher Kelly

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891486643

Mark Christopher Kelly is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891486643
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023
Mailing address750 N Freedom Blvd, Provo, UT 84601-1677

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