IndividualActive
Kelly Beaumont, PA
NPI 1548369341 · Pediatric Adolescent Medicine Physician · St George, UT
Provider details
- NPI number
- 1548369341
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 100872-1206 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1240 E 100 S Ste 14
St George, UT 84790-3005
Phone: (435) 628-8232
Fax: (435) 674-7994
Approximate (ZIP-level) locationGet directions
Mailing address
1240 E 100 S Ste 14
St George, UT 84790-3005
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.