1. Home
  2. Directory
  3. Utah
  4. Provo
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLIE LYNN CAMPBELL
NPI 1053101352
Physician Assistant in Provo, UT

Active since May 09, 2025
1800 NOVELL PL, PROVO, UT 84606(801) 375-5125 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 18, 2026, May 9, 2025 (2 updates tracked since 2025).

About Kellie Lynn Campbell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE LYNN CAMPBELL (NPI 1053101352) is an individual physician assistant in Provo, Utah, licensed in Virginia (0110012371) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1053101352
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLIE LYNN CAMPBELL
Location Address1800 NOVELL PLProvo, UT 84606-6171
Mailing Address1800 Novell PlProvo, UT 84606-6171
Phone(801) 375-5125
Sole ProprietorNo
Enumeration DateMay 9, 2025
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1053101352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110012371
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1800 NOVELL PL, Provo, UT 84606
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA WILLMORE HAYES
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
KAYLEN MCGUIRE PA-S
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
ELIZABETH WUERCH
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
RACHEL VELA
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (503) 403-8268
LAUREN VICTORIA BROWN
Physician Assistant
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 200-6741
HALEY ANN EDONE
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
MACKENZIE RIDLEY PA
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
DR. MATTHEW ORGILL OD
Optometrist
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Campbell's NPI number?

The NPI number for Kellie Campbell is 1053101352. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Where is Kellie Campbell located?

Kellie Campbell practices at 1800 Novell Pl, Provo, UT 84606. The listed phone number is (801) 375-5125.

What is Kellie Campbell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kellie Campbell was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.