William Michael Kelley, R.C.E.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

K400933611220 Issued in FL

Practice address

400 Celebration PL
400 Celebration Place
Celebration, FL 34747-4970

Phone

(407) 644-1820

NPI assigned

May 17, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1467745935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 CROWN RIDGE CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347448461",
            "telephone_number": "407-644-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CELEBRATION PL",
            "address_2": "400 CELEBRATION PLACE",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474970",
            "telephone_number": "407-644-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "credential": "R.C.E.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "K400933611220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN COLLEGE OF SPORTS MEDICINE",
            "identifier": "1001551",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Judd, BCBA
• Jill Kahli
• Eric F Kaiser, MD
• Hilaree F Kasper, PA-C
• Keiler Heberto Moreno Rivero, P.a.
• Kay Thi Khine
• Kieran Surgical, LLC
• Keith Chae Kim, M.D.
• Silvia Kim, PHARM.D.
• Kindbody of FL Medical Practice PA

• Specialist in Celebration, FL
• Providers in Celebration, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.