Most Relevant Information
Provider Data
| NPI Number: | 1003200171 |
| Provider Name: | WILLIAM KELLY M. D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/26/2015 |
| Last Updated: | 10/27/2023 |
Provider Practice Location
425 W CENTRAL AVE STE 201
LOMPOC
CA
934362807
Practice Location Phone/Fax
| Phone: | 8057371169 |
| Fax: |
Provider Mailing Location
2050 S BLOSSER RD
SANTA MARIA
CA
934587310
Provider Mailing Phone/Fax
| Phone: | 8053618028 |
| Fax: | 8053618097 |