Edward Leslie Kelly is a Provo, Utah based psychiatrist with 32 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 MD00040860 for Psychiatry in Washington. 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 M.D. 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:
M.D.
Experience:
32+ 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:
02 Jul, 2020
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
MD00040860
Psychiatry
Washington
Primary
26951
Forensic Psychiatry
Nebraska
Secondary
42929
Forensic Psychiatry
Minnesota
Secondary
26951
Psychiatry
Nebraska
Secondary
MD00040860
Child & Adolescent
Washington
Secondary
MD00040860
Geriatric
Washington
Secondary
MD00040860
Forensic Psychiatry
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.