Organization · Type 2 NPI

William M. Kelly M.d., Inc.

Specialist · Palm Desert, CA

NPI number 1306078225 Active

Practice location

72980 Fred Waring Dr, Suite A
Palm Desert, CA 92260-2898

Call (760) 776-8001 Map

Fax (760) 836-3934

Mailing address

44489 Town Center Way, Suite D Box 540
Palm Desert, CA 92260-2789

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	A34125 (CA)
Diagnostic Neuroimaging (Radiology) Physician	2085D0003X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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NPI record

NPI: 1306078225
Entity type: Organization (Type 2)
Issued: Aug 11, 2009
Last updated: Oct 18, 2013
Status: Active
Subpart: Yes of William M. Kelly M.d., Inc.

Other names

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Health Scan Imaging, Truly Open Mri, and Open Mri of Loma Linda · doing business as

Authorized official

Tania Chang
Credentialing/contrac Administrator
(760) 776-8001

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306078225

William M. Kelly M.d., Inc.'s National Provider Identifier is 1306078225, issued on Aug 11, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Palm Desert, CA. The record was last updated on Oct 18, 2013.