EDWARD LESLIE KELLY M.D.
NPI 1013995471
Psychiatry & Neurology, Forensic Psychiatry in Provo,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 5, 2006

Contact Information

1300 E Center St
Provo,
Post Code: 84606
Phone: (801) 344-4400
Fax: (801) 344-4225

Get Directions Be the first to review

Edward Leslie Kelly M.d. in Provo - Psychiatry & Neurology, Forensic Psychiatry

Edward Leslie Kelly M.d. is a Psychiatry & Neurology, Forensic Psychiatry in Provo, . Edward Leslie Kelly M.d. practices all healthcare services and medical treatments related to Psychiatry & Neurology, Forensic Psychiatry. The NPI Number for Edward Leslie Kelly M.d. is 1013995471. The last update date is 2020-07-02.

Edward Leslie Kelly M.d.'s current location address is 1300 E Center St, Provo, . You can contact this provider via phone number (801) 344-4400 and fax number (801) 344-4225. The mailing address for Edward Leslie Kelly M.d. is 1300 E Center St, Provo, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013995471
Provider Name
EDWARD LESLIE KELLY M.D.
Gender
Male
Entity Type
Individual
Location Address
1300 E Center St, Provo,
Location Phone
(801) 344-4400
Location Fax
(801) 344-4225
Mailing Address
Po Box 270, Provo, Utah(UT)
Mailing Phone
801-344-4400
Mailing Fax
801-344-4225
Enumeration Date
2006-01-05
Last Update Date
2020-07-02
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology, Psychiatry

Taxonomy Code
2084P0800X
Type
-
License No.
MD00040860
License State
Washington (WA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2084F0202X Forensic Psychiatry Physician

Psychiatry & Neurology, Forensic Psychiatry

26951 (Nebraska)
2 2084F0202X Forensic Psychiatry Physician

Psychiatry & Neurology, Forensic Psychiatry

42929 (Minnesota)
3 2084P0800X Psychiatry Physician

Psychiatry & Neurology, Psychiatry

26951 (Nebraska)
4 2084P0804X Child & Adolescent Psychiatry Physician

Psychiatry & Neurology, Child & Adolescent Psychiatry

MD00040860 (Washington)
5 2084P0805X Geriatric Psychiatry Physician

Psychiatry & Neurology, Geriatric Psychiatry

MD00040860 (Washington)
6 2084F0202X Forensic Psychiatry Physician

Psychiatry & Neurology, Forensic Psychiatry

MD00040860 (Washington)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1013995471 MEDICAID (05) Washington (WA)

Reviews for EDWARD LESLIE KELLY M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013995471
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202318910414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 202318910414
2 + 0 + 2 + 3 + 1 + 8 + 9 + 1 + 0 + 4 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1013995471 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013994946 EVANGELINA ORTEGA NEUMAN
Individual
Social Worker, Clinical 1720 S 1800 E
SALT LAKE CITY, Utah (UT)
801-484-2274
1013994813 ALI AHMED FAZILI
Individual
Internal Medicine, Critical Care Medicine 324 E 10TH AVE STE 170
SALT LAKE CITY, Utah (UT)
801-408-5555
1013994631 JEFFREY A. MANWARING
Individual
Audiologist 1490 EAST FOREMASTER DRIVE
ST GEORGE, Utah (UT)
435-688-2456
1013994516 MISSION HEALTH SERVICES
ALPINE VALLEY CARE CENTER
Organization
Skilled Nursing Facility 5007 S MISSION DR
SAINT JOSEPH, Missouri (MO)
816-232-9573
1013993815 JUSTIN WADE SALMON
Individual
Chiropractor 107 S 1470 E
ST GEORGE, Utah (UT)
435-652-4476