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Kelly Allan Gomez, DPM
Podiatrist in Provo, Utah
NPI 1821021957

Kelly Allan Gomez is a Podiatrist based in Provo, UT. Kelly Allan Gomez practices in Provo, UT and has the professional credentials of DPM. The NPI Number for Kelly Allan Gomez is 1821021957 and holds a License No. 367951 (Utah).

The current practice location address for Kelly Allan Gomez is 777 N 500 W, Provo, UT and can be reached out via phone at 801-375-6677 and via fax at 801-375-0346.

Location: 777 N 500 W, Provo, UT, 84601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821021957
Provider Name
Kelly Allan Gomez
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
777 N 500 W, Provo, UT, 84601
Phone Number
801-375-6677
Fax Number
801-375-0346
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000064004 01 UT MEDICARE PTAN #
institution
Provider Business Practice Location Address Details
Address
777 N 500 W
City
Provo
State
Utah
Zip
84601
Phone Number
801-375-6677
Fax Number
801-375-0346
person
Provider Business Mailing Address Details
Address
777 N 500 W
City
Provo
State
Utah
Zip
84601
Phone Number
801-375-6677
Fax Number
801-375-0346
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
367951 (Utah)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
367951 (Utah)
Definition
Definition to come...
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