| Wayne J Kelly Md | |
|
301 E Florida Ave Ste E Hemet CA 92543-4253 | |
| (951) 929-2753 | |
| Not Available |
| Full Name | Wayne J Kelly Md |
|---|---|
| Speciality | Family Medicine |
| Location | 301 E Florida Ave Ste E, Hemet, California |
| Authorized Official Name and Position | Wayne J Kelly (OWNER) |
| Authorized Official Contact | 9519292753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne J Kelly Md 301 E Florida Ave Ste E Hemet CA 92543-4253 Ph: (951) 929-2753 | Wayne J Kelly Md 301 E Florida Ave Ste E Hemet CA 92543-4253 Ph: (951) 929-2753 |
| NPI Number | 1487822805 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487822805 | NPI | - | NPPES |
| GR0079650 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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