WILLIAM M. KELLY M.D., INC.; NPI #1700868338

Contact Information

WILLIAM M. KELLY M.D., INC.

40700 CALIFORNIA OAKS RD
STE 103
MURRIETA, CA 92562

Phone: 951-894-4418
Fax: 951-894-4419
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Diagnostic Neuroimaging	2085D0003X

Indicates primary specialty

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NPI Profile & details for WILLIAM M. KELLY M.D., INC.

NPI Number 1700868338

LBN Legal business name WILLIAM M. KELLY M.D., INC.

Authorized official MELONIE STORER - (CREDENTIALING ADMINISTRATOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/18/2005

Last updated 01/13/2010 - About 16 years ago

Identifiers

CA	License #	A34125
CA	Medicaid	A341253

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WILLIAM M. KELLY M.D., INC.

Contact Information

Specialty

Diagnostic Radiology

Diagnostic Neuroimaging

NPI Profile & details for WILLIAM M. KELLY M.D., INC.

Reviews for WILLIAM M. KELLY M.D., INC.