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Active NPI 1720122583 Individual Practitioner Male Practitioner

Dr. Christopher P Kelly , MD

Surgery - Plastic and Reconstructive Surgery • South Jordan, UT

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Kelly, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in South Jordan, UT. Practice services are available at 11464 S PARKWAY PLAZA DR STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11464 S Parkway Plaza Dr Ste 300

South Jordan, UT 840956053

Telephone 8019878653
Associated Practice Facility / Clinic
🏢 Revivology Facility NPI 1467988832

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in South Jordan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
1 Specialists

Practicing in South Jordan, UT (21 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License UT 9258138-1205

A surgeon who specializes in plastic and reconstructive surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2018

Registered at 11464 S PARKWAY PLAZA DR STE 300, SOUTH JORDAN, UT 840956053 (Tel: 8019878653)

📍
Updated Business Mailing Address January 08, 2018

Registered at 11464 S PARKWAY PLAZA DR STE 300, SOUTH JORDAN, UT 840956053 (Tel: 8019878653)

👤
Provider Name / Credentials Updated January 08, 2018

Recorded as CHRISTOPHER KELLY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2018

Surgery (License #9258138-1205 in UT)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1100 9TH AVE, SEATTLE, WA 981012756 (Tel: 2065836079)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1100 OLIVE WAY STE 401 # M4-PA, SEATTLE, WA 981011873 (Tel: 2065155811)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHRISTOPHER KELLY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720122583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2007
Last Update: January 08, 2018
Sole Proprietor: No

Mailing Address

11464 S Parkway Plaza Dr Ste 300

South Jordan, UT 840956053

Phone: 8019878653

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.