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General NPI Number Information
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NPI Number | 1720422421
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Entity Type | Individual
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Provider Name | WILLIAM JAMES KELLY MD
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Gender | Male
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 7979 WURZBACH RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4427
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Country | US
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Telephone | 210-450-1812
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 RESERVOIR RD NW DEPARTMENT OF HEMATOLOGY/ONCOLOGY
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City | WASHINGTON
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State | DC
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Zip | 20007-2113
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Country | US
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Telephone | 202-444-7094
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Fax | 202-444-8829
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | S7897
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD043981
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10047120
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License Number State | TX
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