WILLIAM R KELLEY MD PROF CORP
NPI 1780804583
Radiology - Diagnostic Radiology in Fort Mohave, AZ

Active since April 26, 2007
1510 E WAGON WHEEL LN STE 110, FORT MOHAVE, AZ 86426(928) 788-3333(928) 788-3555 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2019, Mar 20, 2019, Mar 15, 2019 (3 updates tracked since 2019).

About William R Kelley Md Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM R KELLEY MD PROF CORP (NPI 1780804583) is a healthcare organization registered as a diagnostic radiology in Fort Mohave, Arizona and active in the NPI registry since April 2007. The organization lists William Kelley, Owner, as its authorized official.

NPPES Registry Identity

NPI1780804583
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameWILLIAM R KELLEY MD PROF CORP
Location Address1510 E WAGON WHEEL LN STE 110Fort Mohave, AZ 86426-6698
Mailing Address1101 Cumberland Xing # 253Valparaiso, IN 46383-2356 · (928) 234-5884 · Fax (928) 492-1028
Fax(928) 788-3555
Organization SubpartNo
Authorized OfficialWilliam KelleyOwner · (928) 234-5884
Enumeration DateApril 26, 2007
Last NPPES UpdateMay 7, 20193 updates tracked since enumeration
NPI 1780804583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1510 E WAGON WHEEL LN STE 110, Fort Mohave, AZ 86426

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1510 E WAGON WHEEL LN STE 110
FORT MOHAVE, AZ 86426
Pain Medicine (Pain Medicine)
1510 E WAGON WHEEL LN STE 110
FORT MOHAVE, AZ 86426
Pain Medicine (Interventional Pain Medicine)
1510 E WAGON WHEEL LN STE 110
FORT MOHAVE, AZ 86426
Physical Therapist
1510 E WAGON WHEEL LN STE 110
FORT MOHAVE, AZ 86426

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William R Kelley MD Prof Corp's NPI number?

The NPI number for William R Kelley MD Prof Corp is 1780804583. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is William R Kelley MD Prof Corp located?

William R Kelley MD Prof Corp is located at 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426. The listed phone number is (928) 788-3333.

What is William R Kelley MD Prof Corp's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for William R Kelley MD Prof Corp was last updated on May 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.