Individual
DR. WILLIAM KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
941 E HUBBLE DR, MARSHFIELD, MO 65706-2538
(417) 269-1940
(417) 269-1948
Mailing address
3800 S NATIONAL AVE, #540, SPRINGFIELD, MO 65807-5209
(417) 269-1940
(417) 269-1948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105766
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107908
BCMO
MO
05
—
208663419
—
MO
Enumeration date
10/13/2006
Last updated
09/12/2016
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