Individual
WILLIAM PATRICK KELLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(707) 972-2135
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A15983
CA
208M00000X
Hospitalist Physician
Primary
20A15983
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2016
Last updated
05/08/2020
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