Edward Leslie Kelly in Provo - Forensic Psychiatry
Edward Leslie Kelly - NPI 1013995471
Edward Leslie Kelly is a Forensic Psychiatry in Provo, Utah. Edward Leslie Kelly practices all healthcare services and medical treatments related to Forensic Psychiatry. The NPI Number for Edward Leslie Kelly is 1013995471. The last update date is 2020-07-02.
Edward Leslie Kelly's current location address is Po Box 270, Provo, Utah. You can contact this provider via phone number 8013444400 and fax number 8013444225. The mailing address for Edward Leslie Kelly is Po Box 270, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Leslie Kelly |
|---|---|
| Address | Po Box 270, Provo, Utah |
| Phone Number | 8013444400 |
| Fax Number | 8013444225 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013995471 |
|---|---|
| Provider Enumeration Date | 2006-01-05 |
| Last Updated Date | 2020-07-02 |
Provider Mailing Address Detail
| Address | Po Box 270 |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846030270 |
| Phone Number | 8013444400 |
| Fax Number | 8013444225 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic Psychiatry |
|---|---|
| Taxonomy | 2084F0202X |
| Licence No | 26951 |
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Definition: Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and fo |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1013995471 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Edward Leslie Kelly?
The Edward Leslie Kelly has been issued the NPI (National Provider Identifier) 1013995471 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Edward Leslie Kelly's physical address?
The Edward Leslie Kelly is physically located at Po Box 270, in the city of Provo, UT, with the postal code 846030270.
What is Edward Leslie Kelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward Leslie Kelly is Forensic Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084F0202X.
On what date did the Edward Leslie Kelly receive its 1013995471 assignment from the Centers for Medicare & Medicaid Services?
The Edward Leslie Kelly was assigned its 1013995471 by the Centers for Medicare & Medicaid Services on 2006-01-05.
As of what date was the information pertaining to Edward Leslie Kelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edward Leslie Kelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-07-02.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN