Kelly, William Sherwood

Kelly, William Sherwood is an sole proprietor health care provider with primary practice located at 420 W Mountain St , Kernersville NC 27284-2534. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kelly, William Sherwood can be contacted via phone (336) 993-1618.

Contact Information

Primary practice address
420 W Mountain St Kernersville NC 27284-2534
Phone: (336) 993-1618
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 26282 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26282 North Carolina

Profile Details

NPI number 1730170374
LBN Legal business name Kelly, William Sherwood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Sep 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730170374 NPPES
North Carolina Other 26282 STATE LICENSE
North Carolina MEDICAID 8948272 STATE LICENSE
North Carolina Other 080107394 STATE LICENSE

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