Kelly, William M.
Kelly, William M. is an individual health care provider with primary practice located at 72980 Fred Waring Dr. Suite A, Palm Desert CA 92260-9339. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging. Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging is his primary health care specialty. Kelly, William M. can be contacted via phone (760) 776-8001.Contact Information
Primary practice address
72980 Fred Waring Dr. Suite A
Palm Desert CA 92260-9339
Phone: (760) 776-8001
Fax: (760) 776-9636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A34125 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | A34125 | California |
Profile Details
| NPI number | 1114952165 |
|---|---|
| LBN Legal business name | Kelly, William M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Feb 3rd, 2010 - about 16 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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