WILLIAM R KELLEY MD PROF CORP NPI 1780804583

NPI Information

WILLIAM R KELLEY MD PROF CORP is a diagnostic radiology radiology in Fort Mohave, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WILLIAM R KELLEY MD PROF CORP NPI is 1780804583. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1510 E WAGON WHEEL LN STE 110
FORT MOHAVE, AZ
ZIP 86426-698
Phone: (928) 788-3333
Fax: (928) 788-3555

The provider's authorized official is William Kelley .
The authorized official title is Owner and has the following contact phone number (928) 234-5884.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 5/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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