Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelcie Petty

Individual provider Physician Assistant · NPI 1497498059

Kelcie Petty is a Physician Assistant in Cedar City, Utah. Qualified in 2024, 2 years ago. Practices with Cedar Ridge Family Medicine, a 14-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2022

Practice location Address checks out

110 W 1325 N Ste 200
Cedar City, UT 84721-8179
Phone: (435) 586-7676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14139610-1206 (UT)

Record details

NPI number1497498059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2022
Last updated in NPPESAugust 24, 2024
Certification dateAugust 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cedar Ridge Family Medicine — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cedar City