Individual
MR. WILLIAM DAVID KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 N GREEN VALLEY PKWY, SUITE 310, HENDERSON, NV 89074-6391
(702) 565-6565
(702) 565-8898
Mailing address
100 N GREEN VALLEY PKWY, SUITE 310, HENDERSON, NV 89074-6391
(702) 565-6565
(702) 565-8898
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1058
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00442052
RAILROAD MEDICARE
NV
Enumeration date
05/10/2006
Last updated
02/12/2008
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