William R Kelley Md Prof Corp

LBN: William R Kelley Md Prof Corp
William R Kelley Md Prof Corp is an health care organization with primary practice located at 1510 E Wagon Wheel Ln Ste 110 , Fort Mohave AZ 86426-6698. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. William R Kelley Md Prof Corp can be contacted via phone (928) 788-3333, or through Kelley, William via phone (928) 234-5884.

Contact Information

Primary practice address
1510 E Wagon Wheel Ln Ste 110 Fort Mohave AZ 86426-6698
Fax: (928) 788-3555
Website:
Authorized official contact:
Name: Kelley, William Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1780804583
LBN Legal business name William R Kelley Md Prof Corp
DBA Doing business as
Authorized official Kelley, William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated May 7th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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