William R Kelley MD Prof Corp
NPI #1780804583 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1780804583
- Entity Type
- Organization
- Organization Name
- William R Kelley MD Prof Corp
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Apr 26, 2007
- Last Updated
- May 7, 2019
Practice Location
- Address
- 1510 E WAGON WHEEL LN STE 110
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-6698
- Phone
- (928) 788-3333
Authorized Official
- Name
- WILLIAM KELLEY, MD
- Title
- OWNER
- Phone
- (928) 234-5884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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