William M. Kelly M.d., Inc.

NPI #1295718161 in Loma Linda, California

Provider Information

NPI Number
1295718161
Entity Type
Organization
Organization Name
William M. Kelly M.d., Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
WILLIAM M. KELLY M.D., INC.
Primary Specialty
Radiology - Diagnostic Neuroimaging
Enumeration Date
Nov 23, 2005
Last Updated
Jan 12, 2010

Practice Location

Address
11360 MOUNTAIN VIEW AVE
Address 2
SUITE C
ZIP Code
92354-3861
Phone
(909) 478-3300

Authorized Official

Name
MS. MELONIE STORER
Title
CREDENTIALING ADMINISTRATOR
Phone
(951) 302-2223

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology
Radiology - Diagnostic NeuroimagingDiagnostic Neuroimaging

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William M. Kelly M.d., Inc.

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William M. Kelly M.d., Inc.

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