Individual
WILLIAM KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL DR, ANESTHESIA DEPARTMENT, BENNINGTON, VT 05201-5004
(802) 447-5590
(802) 440-6099
Mailing address
PO BOX 252, LEWISTON, ME 04243-0252
(800) 720-1664
(207) 753-2020
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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