Individual
WILLIAM KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0420010592
VT
207L00000X
Anesthesiology Physician
15758
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009703
—
VT
01
—
P00048870
RAILROAD MEDICARE
—
Enumeration date
05/30/2006
Last updated
12/12/2022
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