Kelly, William Thomas

Kelly, William Thomas is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Kelly, William Thomas can be contacted via phone (708) 216-5118.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-5118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209.017727 Illinois

Profile Details

NPI number 1215428156
LBN Legal business name Kelly, William Thomas
Credentials DNP, RN, APN, AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2018
Last updated May 26th, 2018 - about 7 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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