MR. WILLIAM DAVID KELLEY


Address: 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391
Phone: 7025656565

MR. WILLIAM DAVID KELLEY (NPI# 1952351272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952351272
Entity Type Individual
Full Name MR. WILLIAM DAVID KELLEY
Credential PA
Practice Address 100 N Green Valley Pkwy
Suite 310
Henderson
NV 89074-6391
Practice Telephone 7025656565
Practice Fax Number 7025658898
Mailing Telephone 7025656565
Mailing Fax Number 7025658898
Enumeration Date 2006-05-10
Last Update Date 2008-02-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA1058 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV RAILROAD MEDICARE P00442052 01

Other Providers WILLIAM KELLEY

NPI Name Taxonomy Address Enumeration
1831542836 William Kelley Physical Therapist 3100 Naomi St, Miami, FL 33133-4510 2016-07-14
1508911736 William T Kelley Emergency Medicine 1000 East 2nd Street, Coudersport, PA 16915 2007-01-25
1750436713 William Duane Kelley Jr. Chiropractor 100 Mclay Dr, Elizabeth, PA 15037-2362 2007-01-23
1285782532 William Kelley Physician Assistant 1164 Andrews Rd, Murphy, NC 28906-2898 2007-01-05
1043373384 William Scott Kelley Podiatrist 35 S Spruce St Fl 1, Ramsey, NJ 07446-2549 2006-12-18
1891708897 William Joseph Kelley Plastic Surgery 255 W Florida St, Suite 102, Mandeville, LA 70448-3020 2006-08-14
1962425215 William M Kelley Dentist 780 E Romie Ln Ste F, Salinas, CA 93901-4223 2006-07-26
1376561647 William H. Kelley Family Medicine 7069 Us Highway 67 E, Maud, TX 75567-4583 2006-07-17
1932145976 William Joseph Kelley Internal Medicine 247 N Fireweed St Ste A, Soldotna, AK 99669-7593 2006-06-20
1770555401 William Bernard Kelley Specialist 6001 W Center St, Suite #108, Milwaukee, WI 53210-2154 2006-02-06

Office Location

Street Address 100 N GREEN VALLEY PKWY
SUITE 310
City HENDERSON
State NV
Zip Code 89074-6391

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366446189 Parkway Surgery Center, LLC. Clinic/Center 100 N Green Valley Pkwy, Ste 125, Henderson, NV 89074-6392 2005-06-09
1205285285 Pat Escamis Nurse Practitioner 100 N Green Valley Pkwy, Suite 239, Henderson, NV 89074-6391 2016-06-09
1922491505 Parkway Recovery Care Center, LLC Nursing Facility/Intermediate Care Facility 100 N Green Valley Pkwy, Suite 330, Henderson, NV 89074-6391 2015-03-06
1184901944 Parkway Imaging Center, LLC Clinic/Center 100 N Green Valley Pkwy, 130, Henderson, NV 89074-6391 2011-11-08
1972732451 Jenny Hernandez Nutritionist 100 N Green Valley Pkwy, Suite 340, Henderson, NV 89074-6391 2009-07-06
1205088895 Allan Jordan Specialist/Technologist, Other 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391 2008-10-15
1326290016 Bryan Barnard Specialist/Technologist, Other 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391 2008-10-14
1366643553 Sylvia C Averitt Nurse Practitioner 100 N Green Valley Pkwy, Ste 345, Henderson, NV 89074-7705 2007-05-29
1124234927 Connie L Knapp Nurse Practitioner 100 N Green Valley Pkwy, #345, Henderson, NV 89074 2007-05-16
1699988055 M Paul Singh Md Prof Corp Internal Medicine 100 N Green Valley Pkwy, # 110, Henderson, NV 89074-6391 2007-05-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194349381 Samuel Taylor Mulford Physical Therapist 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 2020-06-03
1407369127 Brenda Thomas Dental Hygienist 234 Polar Morning Place, Henderson, NV 89074 2017-11-16
1174036479 Gail E Evans Wade Behavioral Analyst 1445 Stone Lake Cove, Henderson, NV 89074 2017-11-08
1710400957 Kimberley Houk Behavioral Analyst 20 Avenida Picasso, Henderson, NV 89074 2017-07-19
1760911846 Colin Ono-moore Physical Therapist 3 Rising Sun Ct, Henderson, NV 89074 2017-06-12
1851825764 Ralph Wieder Dietitian, Registered 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 2017-04-18
1811421712 Henderson Long Term Care LLC Skilled Nursing Facility 2965 Wigwam Parkway, Henderson, NV 89074 2017-04-18
1275994642 Malyna Lavarias Behavioral Analyst 74 N Pecos Rd., Suite C, Henderson, NV 89074 2016-03-14
1144608290 Matthew Roderick Acupuncturist 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 2015-05-08
1922494764 Jennifer Romo Santistevan Pediatrics 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 2015-04-08
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598148538 Filbert John Aquino Physician Assistant 921 Twilight Peak Ave., Suite 110, Henderson, NV 89012-3187 2015-07-08
1215131495 Harvey P Smith Jr. Physician Assistant 6301 Mountain Vista St Ste 204, Henderson, NV 89014-2366 2007-06-12
1255373338 Ruston Bray Physician Assistant 612 N High St Ste A, Henderson, TX 75652-5914 2006-06-12
1487045936 Jason A Zarn Physician Assistant 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074-8195 2015-02-05
1194159350 Nicole Louise Watson Physician Assistant 10652 S Eastern Ave Ste A, Henderson, NV 89052-4953 2013-08-23
1912243619 Bryce Tyler Nelson Physician Assistant 10561 Jeffreys St, #230, Henderson, NV 89052-4266 2012-12-27
1972560175 Daniel Kreun Physician Assistant 861 Coronado Center Dr, Suite 200, Henderson, NV 89052-3992 2006-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1427591759 Eduardo Delatorre Physician Assistant 7978 Coronado Coast St, Las Vegas, NV 89139-6192 2016-11-17
1275923278 Bradley Ryan Duncan Physician Assistant 645 Angela St, Fernley, NV 89408-8321 2015-01-28
1992130181 Jason Michael Hall Physician Assistant 7385 S Pecos Rd Ste 101, Las Vegas, NV 89120-3768 2013-09-06
1790024164 Rachelle L Kidd Physician Assistant 9162 Ballineen Ct, Las Vegas, NV 89148-4946 2013-02-05
1104162643 David J Barth P.C. Physician Assistant 5455 S Fort Apache Rd Ste 108-9, Las Vegas, NV 89148-6408 2013-01-02
1184977555 Luke V. Desjarlais, Pllc Physician Assistant 9035 Westchester Hill Ave, Las Vegas, NV 89148-4926 2012-10-22
1598023954 Ronald Lavor Moon Physician Assistant 9806 Red Deer St, Las Vegas, NV 89143 2012-04-23
1720319890 Tiffany Ann Teepen Physician Assistant 8420 W Warm Springs Rd # 100, Las Vegas, NV 89113-3624 2010-01-28
1093046963 Physician Assistant Surgical Specialists Physician Assistant 8979 Haviland Rd, Las Vegas, NV 89123-0617 2010-01-16
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Competitor

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City HENDERSON
Zip Code 89074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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