Individual
WILLIAM B. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 W 10TH AVE, N416 DOAN, COLUMBUS, OH 43210-1240
(614) 293-8487
Mailing address
410 W 10TH AVE, N416 DOAN, COLUMBUS, OH 43210-1240
(614) 293-8487
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-062891
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894733
—
OH
Enumeration date
01/20/2006
Last updated
12/28/2016
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