MACKENZIE KELLY, MD
Adult Reconstructive Orthopaedic Surgery Physician · SALT LAKE CITY, UT
Individual Active NPI 1942761580
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | ✓ | 14210189-1205 | UT |
| Orthopaedic Surgery Physician | 207X00000X | PG198843 | OR | |
| Surgery Physician | 208600000X | 125.073820 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.