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WILLIAM M. KELLY M.D. INC. NPI 1922082767


NPI Information

NPI: 1922082767
Provider Name: WILLIAM M. KELLY M.D., INC.

Doing Business As: TRULY OPEN MRI

Classification: Radiology - 2085D0003X
Entity Type: Organization

Specialization: Diagnostic Neuroimaging

Address:
72980 FRED WARING DR.
STE. A
PALM DESERT, CA
ZIP 92260
Phone: (760) 776-8001
Get Directions

WILLIAM M. KELLY M.D., INC. is a diagnostic neuroimaging radiology in Palm Desert, CA. The provider is a licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. WILLIAM M. KELLY M.D., INC. NPI is 1922082767. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Truly Open Mri.

The provider's business location address is:

72980 FRED WARING DR.
STE. A
PALM DESERT, CA
ZIP 92260-339
Phone: (760) 776-8001
Fax: (760) 674-8282

The provider's authorized official is Melonie Storer .
The authorized official title is Credentialing Administrator and has the following contact phone number (951) 302-2223.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 1/12/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiologyNo
22085R0202XRadiologyDiagnostic RadiologyNo
32085R0204XRadiologyVascular & Interventional RadiologyNo
42085U0001XRadiologyDiagnostic UltrasoundNo
52085D0003XRadiologyDiagnostic NeuroimagingA34125CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A27387MEDICARE UPIN
2ZZZ22856ZMEDICARE PIN
3A27387MEDICARE UPINCALIFORNIA
400341250MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.