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

Nicole Kelly, PA-C

Individual provider Physician Assistant · NPI 1013312339

Nicole Kelly, PA-C is a Physician Assistant in Draper, Utah. Licensed in Utah. Registered with an NPI since 2014.

Licensed in
UT
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

12340 S 450 E
Draper, UT 84020-8154
Phone: (801) 501-9797
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9190865-1206 (UT)

Record details

NPI number1013312339
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 29, 2014
Last updated in NPPESAugust 1, 2016

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