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Organization
WILLIAM M. KELLY M.D., INC.
Active
Organization
WILLIAM M. KELLY M.D., INC.
Active
Parent organization
WILLIAM M. KELLY M.D., INC.
Other names
Health Scan Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIAM M. KELLY M.D., INC.
Authorized official
MS. MELONIE STORER (CREDENTIALING ADMINISTRATOR)
(951) 302-2223
Entity
Organization
Contact information
Practice address
31565 RANCHO PUEBLA RD, SUITE 101, TEMECULA, CA 92592-4839
(951) 302-2225
(951) 302-2210
Mailing address
44489 TOWN CENTER WAY, STE. D, PALM DESERT, CA 92260-2789
(760) 776-9777
(760) 776-4999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A34125
CA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
Other
Enumeration date
04/18/2008
Last updated
01/13/2010
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