Individual
WILLIAM KEVIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 995-8874
(215) 955-2340
Mailing address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 995-8874
(215) 955-2340
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
043422
CT
207RX0202X
Medical Oncology Physician
Primary
OS006196L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001434224
—
CT
05
—
0232017
—
NJ
05
—
102474035
—
PA
Enumeration date
10/10/2005
Last updated
05/31/2011
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