WILLIAM JONATHAN KELLY — Medicare Enrolled Provider (PRACTITIONER - PEDIATRIC MEDICINE, CA)
WILLIAM JONATHAN KELLY — Medicare Enrolled Provider (PRACTITIONER - PEDIATRIC MEDICINE, CA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: WILLIAM JONATHAN KELLY; Type: Individual; NPI: 1003200171.
| Name | WILLIAM JONATHAN KELLY |
|---|---|
| Type | Individual |
| NPI | 1003200171 |
| Provider type | PRACTITIONER - PEDIATRIC MEDICINE |
| State | CA |
| Enrollment ID | I20180910000735 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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