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NPI Code Detail

MEDICARE: WILLIAM JAMES KELLY MD

MEDICARE: WILLIAM JAMES KELLY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RX0202XMedical Oncology PhysicianS7897TX
2207R00000XInternal Medicine PhysicianMD043981DC
3207R00000XInternal Medicine PhysicianBP10047120TX

General Provider Information

NPI Number : 1720422421
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JAMES KELLY MD
Provider Business Mailing Address
First Line : 3800 RESERVOIR RD NW
Second Line : DEPARTMENT OF HEMATOLOGY/ONCOLOGY
City : WASHINGTON
State : DC
Zip : 20007-2113
Country : US
Telephone Number : 202-444-7094
Fax Number : 202-444-8829
Provider Business Practice Location Address
First Line : 7979 WURZBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4427
Country : US
Telephone Number : 210-450-1812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2013
Last Update Date : 12/08/2025

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Directions to “ WILLIAM JAMES KELLY MD” Practice Location

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