Doctor Name: | WILLIAM SCOTT KELLEY |
NPI Number: | 1043373384 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | MD01285 |
Business Practice Address: | 35 S Spruce St Fl 1 Ramsey, NJ - 074462549 |
Business Phone Number: | 2013271115 |
Business Fax Number: | 2013274766 |
Mailing Address: | 35 S Spruce St Fl 1, RAMSEY |
State: | NJ |
Postal Code: | 074462549 |
Phone Number: | 2013271115 |
Fax Number: | 2013274766 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | MD01285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |