Individual provider · Type 1 NPI

Kelly Lee Kelso, CPNP

Nurse Practitioner · Salt Lake City, UT

NPI number 1497088363 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X281054-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497088363

Kelly Lee Kelso, CPNP's National Provider Identifier is 1497088363, issued on Sep 10, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 18, 2026.