Provider Demographics
NPI:1750436713
Name:KELLEY, WILLIAM DUANE JR (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DUANE
Last Name:KELLEY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1030 OLD HILLS RD
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15135-2134
Mailing Address - Country:US
Mailing Address - Phone:412-751-6601
Mailing Address - Fax:412-751-6603
Practice Address - Street 1:100 MCLAY DR
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:PA
Practice Address - Zip Code:15037-2362
Practice Address - Country:US
Practice Address - Phone:412-751-6601
Practice Address - Fax:412-751-6603
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2008-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADC008987111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001646760OtherBLUE CROSS/BLUE SHIELD
PA1538137OtherGATEWAY HEALTHCARE
PA416725OtherHEALTH AMERICA/HEALTH ASSURANCE
PA1040680OtherAMERICAN SPECIALTY NETWORK
PA20-1630496OtherACN GROUP
PA7909778OtherAETNA
PA5006597OtherCIGNA
PA651314OtherUNITED HEALTHCARE
PA322175OtherUPMC
PAP0000914OtherUNITED RAILROAD
PA1538137OtherGATEWAY HEALTHCARE
PA322175OtherUPMC
PAP0000914OtherUNITED RAILROAD