Organization
WILLIAM R KELLEY MD PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KELLEY MD (OWNER)
(928) 234-5884
Entity
Organization
Contact information
Practice address
1510 E WAGON WHEEL LN STE 110, FORT MOHAVE, AZ 86426-6698
(928) 788-3333
(928) 788-3555
Mailing address
1101 CUMBERLAND XING # 253, VALPARAISO, IN 46383-2356
(928) 234-5884
(928) 492-1028
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
05/07/2019
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