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

Mr. Kenneth A Zollo, MD

Individual provider Pediatrics Physician · NPI 1770545931

Mr. Kenneth A Zollo, MD is a Pediatrics Physician in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
Specialties on file
2
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

1675 N Freedom Blvd Bldg 3
Provo, UT 84604-2540
Phone: (801) 377-8000
Fax: (801) 377-8001
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 3227931205 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence 3227938905 (UT)

Record details

NPI number1770545931
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESOctober 10, 2011
Mailing address1675 N Freedom Blvd, Bldg 3, Provo, UT 84604-2540

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