Individual
DR. KELLEY WILLIAM GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12791 CABEZUT RD, SONORA, CA 95370-5926
(209) 532-5524
Mailing address
12791 CABEZUT RD, SONORA, CA 95370-5926
(209) 532-5524
(209) 532-1513
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G062899
CA
Other
Enumeration date
12/22/2005
Last updated
11/22/2013
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