OrganizationActive
Kelly a Gomez DPM PC
NPI 1306092812 · Podiatric Clinic/Center · Provo, UT
Provider details
- NPI number
- 1306092812
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Gomez, Owner/President(801) 375-6677
- License
- 367951 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
777 N 500 W
Suite 105
Provo, UT 84601-1541
Phone: (801) 375-6677
Approximate (ZIP-level) locationGet directions
Mailing address
777 N 500 W
Provo, UT 84601-1541
Other names (DBA / former)
- Doing business as
- Rocky Mountain Foot and Ankle
Registry dates
- Enumerated
- 2008-08-15
- Last updated
- 2009-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.