Healthcare Provider Details

I. General information

NPI: 1700943586
Provider Name (Legal Business Name): WILLIAM E KELLAR LIC.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 MAIN DUNSTABLE RD SUITE 135
NASHUA NH
03060-3640
US

IV. Provider business mailing address

34 LINDEN ST
ARLINGTON MA
02476-5914
US

V. Phone/Fax

Practice location:
  • Phone: 603-566-1842
  • Fax:
Mailing address:
  • Phone: 781-648-6888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number219604
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: