William Joseph Kelley, M. D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

013233 Issued in LA

Practice address

255 W Florida St
Suite 102
Mandeville, LA 70448-3020

Phone

(985) 951-7688

Fax

(985) 951-7738

NPI assigned

Aug 14, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891708897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W FLORIDA ST",
            "address_2": "SUITE 102",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483020",
            "telephone_number": "985-951-7688",
            "fax_number": "985-951-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W FLORIDA ST",
            "address_2": "SUITE 102",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483020",
            "telephone_number": "985-951-7688",
            "fax_number": "985-951-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "013233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Kappes, PMHNP-BC
• Kathy L. Chauvin, M.D.
• Kay H. Parker, LLC
• Thomas L Keister Jr., MD
• Suzanne Kelley, M.ED, LPC, NCC
• Kelly G Burkenstock MD a Professional Medical Corporation
• Brandi Kelly, PHD
• Carla Fisher Kelly, P.T.
• Destiny Kennedy, DPT
• John Kenney

• Plastic Surgery Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Plastic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.