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Edward Leslie Kelly, MD

Forensic Psychiatry Physician in Provo, UT · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013995471

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Registry record

Entity type Individual (Type 1)
Name Edward Leslie Kelly
Credential MD
Sex Male
Practice address 1300 E Center St, Provo, UT, 84606
Fax (801) 344-4225
Enumeration date Jan 5, 2006
Last updated in NPPES Mar 24, 2025

Taxonomy & licenses

2084F0202X Forensic Psychiatry Physician Allopathic & Osteopathic Physicians · License 26951 (NE) Secondary
2084F0202X Forensic Psychiatry Physician Allopathic & Osteopathic Physicians · License 42929 (MN) Secondary
2084F0202X Forensic Psychiatry Physician Allopathic & Osteopathic Physicians · License MD00040860 (WA) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 26951 (NE) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License MD00040860 (WA) Secondary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians · License MD00040860 (WA) Secondary
2084P0805X Geriatric Psychiatry Physician Allopathic & Osteopathic Physicians · License MD00040860 (WA) Secondary
2084F0202X Forensic Psychiatry Physician Allopathic & Osteopathic Physicians · License 10382404-1205 (UT) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
1013995471 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Edward Kelly practice?
The practice location on file with NPPES is in Provo, UT. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Edward Kelly?
The National Provider Identifier (NPI) for Edward Kelly is 1013995471, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-24.