William R Kelley MD Prof Corp

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

WILLIAM R KELLEY MD PROF CORP

Practice address

1510 E Wagon Wheel LN Ste 110
Fort Mohave, AZ 86426-6698

Phone

(928) 788-3333

Fax

(928) 788-3555

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

William Kelley, MD

Title

Owner

Phone

(928) 234-5884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1780804583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CUMBERLAND XING # 253",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832356",
            "telephone_number": "928-234-5884",
            "fax_number": "928-492-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E WAGON WHEEL LN STE 110",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266698",
            "telephone_number": "928-788-3333",
            "fax_number": "928-788-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R KELLEY MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-234-5884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Weiss
• West Family Practice and Obstetrics
• Western Az Anesthesia & Pain Management PC
• Wendy Wikstrom, LPC
• Summer Lynn Wilcox, CNP
• Jennifer Lind Womack, R.D., C.D.E.
• William Brian Womack, D.O.
• Karen Reel Woolsey, FNP
• Jason Thomas Wright
• Kiley Yurchak, OTR/L

• Diagnostic Radiology Physician in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.