<Unavail>
LBN: William M. Kelly M.D., Inc.
<Unavail> is an health care organization with primary practice located at 72980 Fred Waring Dr Suite A, Palm Desert CA 92260-2898. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging. Other Service Providers / Specialist is the primary health care specialty.
William M. Kelly M.D., Inc. can be contacted via phone (760) 776-8001, or through Chang, Tania via phone (760) 776-8001.
Contact Information
Primary practice address
72980 Fred Waring Dr Suite A
Palm Desert CA 92260-2898
Phone: (760) 776-8001
Fax: (760) 836-3934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A34125 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X |
Profile Details
| NPI number | 1306078225 |
|---|---|
| LBN Legal business name | William M. Kelly M.D., Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Chang, Tania |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 11th, 2009 |
| Last updated | Oct 18th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306078225 | NPPES |
| California | MEDICAID | 00A341250 |
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