IndividualActive
Kelly Stagg, DPM
NPI 1316935117 · Podiatrist · Ogden, UT
Provider details
- NPI number
- 1316935117
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 104245-0501 (UT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
4700 Harrison Blvd
Ogden, UT 84403-4303
Phone: (801) 475-3225
Fax: (801) 475-3227
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5546
Denver, CO 80217-5546
Registry dates
- Enumerated
- 2005-10-06
- Last updated
- 2017-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.