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
DR. WILLIAM M. KELLY M.D. (PRESIDENT)
(760) 776-8001
Entity
Organization
Contact information
Practice address
425 DIAMOND DR, SUITE 103, LAKE ELSINORE, CA 92530-4495
(951) 245-2700
(951) 245-2770
Mailing address
44489 TOWN CENTER WAY, SUITE D BOX 540, PALM DESERT, CA 92260-2723
(760) 776-9777
(760) 776-4999
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
A34125
CA
Other
Enumeration date
07/30/2010
Last updated
08/04/2010
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