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Contact Information

WILLIAM D KELLEY, PA
100 N GREEN VALLEY PKWY
SUITE 310
HENDERSON, NV89074-6391
 Phone: 702-565-6565
 Fax: 702-565-8898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for WILLIAM D KELLEY · (Male)

NPI Number 1952351272
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/10/2006
Last updated 02/12/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NV License # PA1058
  • NV Other P00442052 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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