Edward Leslie Kelly is a Provo, Utah based psychiatrist with 33 years of experience in Forensic Psychiatry. He completed his graduation in 1992. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Edward Leslie Kelly is 10382404-1205 for Forensic Psychiatry in Utah. His current practice location is 1300 E Center St, Provo. Patients can reach him at 801-344-4400 or can fax him at 801-344-4225. Edward Leslie Kelly is MD in Forensic Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1013995471.
Edward Leslie Kelly 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 forensic psychiatry hospitals.
Complete Profile:
Edward Leslie Kelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Edward Leslie Kelly |
| Specialization: | Forensic Psychiatry |
| Gender: | Male |
| Credentials: | MD |
| Experience: | 33+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1992 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1300 E Center St, Provo,
Utah, 84606-3554 |
| Phone: | 801-344-4400 |
| Fax: | 801-344-4225 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8325079577 |
| Enrollment ID: | I20060607000083 |
| NPI Number: | 1013995471 |
| NPI Enumeration Date: | 05 Jan, 2006 |
| NPI Last Update On: | 24 Mar, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edward Leslie Kelly are as mentioned below.
| License Number | Specialization | State | Status | |
| 10382404-1205 | Forensic Psychiatry | Utah | Primary | |
| 26951 | Forensic Psychiatry | Nebraska | Secondary | |
| 42929 | Forensic Psychiatry | Minnesota | Secondary | |
| MD00040860 | Forensic Psychiatry | Washington | Secondary | |
| 26951 | Psychiatry | Nebraska | Secondary | |
| MD00040860 | Psychiatry | Washington | Secondary | |
| MD00040860 | Child & Adolescent | Washington | Secondary | |
| MD00040860 | Geriatric | Washington | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Edward Leslie Kelly is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Vest Thurston Llc (0648512459) | 14 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Edward Leslie Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1013995471 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Edward Leslie Kelly
Po Box 270,
Provo, Utah |
| Zip: | 84603-0270 |
| Phone Number: | 801-344-4400 |
| Fax Number: | 801-344-4225 |
Patients can reach Edward Leslie Kelly at
1300 E Center St, Provo, Utah or can
call to book an appointment on 801-344-4400.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.