Kelley, William David

Kelley, William David is an individual health care provider with primary practice located at 100 N Green Valley Pkwy Suite 310, Henderson NV 89074-6391. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Kelley, William David can be contacted via phone (702) 565-6565.

Contact Information

Primary practice address
100 N Green Valley Pkwy Suite 310 Henderson NV 89074-6391
Phone: (702) 565-6565
Fax: (702) 565-8898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1058 Nevada

Profile Details

NPI number 1952351272
LBN Legal business name Kelley, William David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 12th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952351272 NPPES
Nevada Other P00442052 RAILROAD MEDICARE

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