Mackenzie Kelly, MD

Individual Active
NPI 1942761580
Adult Reconstructive Orthopaedic Surgery Physician Salt Lake City, UT

Mackenzie Kelly, MD is an adult reconstructive orthopaedic surgery physician practicing in Salt Lake City, UT. The NPI was issued on March 27, 2019, and the record was last updated in NPPES on December 29, 2025. The record lists 4 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Adult Reconstructive Orthopaedic Surgery Physician Primary 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 Not listed

Practice locations

590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 581-2121
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-8211

Local context

Active NPPES records list 25 providers with adult reconstructive orthopaedic surgery physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 29 in Utah and 1,612 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Mackenzie Kelly
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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