Individual
WILLIAM A KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8121
(970) 298-5864
(970) 298-5888
Mailing address
1050 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8121
(970) 298-5864
(970) 298-5888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17526
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
17526
CO
207RP1001X
Pulmonary Disease Physician
Primary
17526
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01175264
—
CO
05
—
Z0257
—
UT
Enumeration date
09/06/2006
Last updated
03/06/2014
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