# WILLIAM M. KELLY M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILLIAM M. KELLY M.D., INC
- **Other names:** Truly Open MRI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922082767
- **Legal business name:** WILLIAM M. KELLY M.D., INC
- **Authorized official:** MS. MELONIE STORER (CREDENTIALING ADMINISTRATOR)
- **Authorized official phone:** (951) 302-2223

## Contact information

- **Practice address:** 72980 FRED WARING DR., STE. A, PALM DESERT, CA 92260-9339
- **Practice address phone:** (760) 776-8001
- **Practice address fax:** (760) 674-8282
- **Mailing address:** 44489 TOWN CENTER WAY, STE. D, PALM DESERT, CA 92260-2789
- **Mailing address phone:** (760) 776-9777
- **Mailing address fax:** (760) 776-4999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | A34125 | CA | Yes |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 01/12/2010