William M. Kelly M.d., Inc.

NPI #1891969960 in Temecula, California

Provider Information

NPI Number: 1891969960
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: Specialist
Enumeration Date: Apr 18, 2008
Last Updated: Jan 13, 2010

Practice Location

Address: 31565 RANCHO PUEBLA RD
Address 2: SUITE 101
City: Temecula
State: California
ZIP Code: 92592-4839
Phone: (951) 302-2225

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Neuroimaging — Diagnostic Neuroimaging	2085D0003X
Specialist	174400000X	Primary

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