Healthcare Provider Details

I. General information

NPI: 1912535584
Provider Name (Legal Business Name): KELSEE DOOLEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 E 1140 N STE B
SARATOGA SPRINGS UT
84045-5467
US

IV. Provider business mailing address

1031 N 1560 E
OREM UT
84097-4431
US

V. Phone/Fax

Practice location:
  • Phone: 801-407-6500
  • Fax:
Mailing address:
  • Phone: 801-234-9645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number77204541204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: