Individual
WILLIAM JOSEPH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
247 N FIREWEED ST STE A, SOLDOTNA, AK 99669-7593
(907) 262-8597
(907) 262-6516
Mailing address
247 N FIREWEED, STE A, SOLDOTNA, AK 99669-7593
(907) 262-8597
(907) 262-6516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2806
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD0006
—
AK
Enumeration date
06/20/2006
Last updated
07/22/2020
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