Organization
WILLIAM M. KELLY M.D., INC.
Active
Parent organization
WILLIAM M. KELLY M.D., INC.
Other names
Health Scan Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIAM M. KELLY M.D., INC.
Authorized official
MS. MELONIE STORER (CREDENTIALING ADMINISTRATOR)
(951) 302-2223
Entity
Organization
Contact information
Practice address
74000 COUNTRY CLUB DR, SUITE E 1, PALM DESERT, CA 92260-2789
(760) 674-8800
(760) 674-8646
Mailing address
44489 TOWN CENTER WAY, STE. D, PALM DESERT, CA 92260-2789
(760) 776-9777
(760) 776-4999
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
A34125
CA
2085R0202X
Diagnostic Radiology Physician
A34125
CA
Other
Enumeration date
10/24/2005
Last updated
01/12/2010
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