Physician Assistant
KELLI GROOMER P.A.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1568412724 · enumerated 2006-05-10 · record updated 2016-11-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 27128, SALT LAKE CITY, UT, 84127-0128 (801) 408-3729 Google Maps Apple Maps OpenStreetMap
- Practice location 8 TH AVE & C ST, SALT LAKE CITY, UT, 84143-0001 (801) 408-3729 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 6063472-1206 UT
- Physician Assistant, Medical 363AM0700X · License 6063472-1206 UT
- Physician Assistant, Medical 363AM0700X · License 085.004349 IL
- Physician Assistant, Medical 363AM0700X · License 385.003199 IL
Locations and evidence
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Practice location
SALT LAKE CITY, UT, 841430001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.