Individual
WILLIAM BERNARD KELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M,D.
Contact information
Practice address
6001 W CENTER ST, SUITE #108, MILWAUKEE, WI 53210-2154
(414) 442-1380
(414) 442-1418
Mailing address
6001 W CENTER ST, SUITE #108, MILWAUKEE, WI 53210-2154
(414) 442-1380
(414) 442-1418
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16812
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30878800
—
WI
Enumeration date
02/06/2006
Last updated
07/08/2007
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