Active NPIIndividual provider

William J Kelly, FNP-C

Nurse Practitioner in Marlton, New Jersey

NPI Number1629574637
Practice location
103 Route 70 E Ste 2, Marlton, NJ 08053-1890
Fax
407-550-3923
Last updated
March 11, 2026

William James Kelly is a Nurse Practitioner based in Marlton, NJ. William James Kelly practices in Marlton, NJ and has the professional credentials of FNP-C. The NPI Number for William James Kelly is 1629574637 and holds a License No. F351539-01 (NY). The current practice location address for William James Kelly is 103 Route 70 E Ste 2, Marlton, NJ 08053-1890 and can be reached out via phone at 856-588-7409 and via fax at 407-550-3923.

Provider Profile Details

NPI Number
1629574637
Provider Name
William James Kelly
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
103 Route 70 E Ste 2, Marlton, NJ 08053-1890
Phone Number
856-588-7409
Fax Number
407-550-3923
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2018
Last Update Date
March 11, 2026
Certification Date
March 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Route 70 E Ste 2
Marlton, NJ 08053-1890
Zip
08053-1890
Phone Number
856-588-7409
Fax Number
407-550-3923
Marlton, NJ 08053Get directions →

Provider Business Mailing Address Details

Address
2725 Sand Arbor Cir
Orlando, FL 32824-4761
City
Orlando
State
FL
Zip
32824-4761
Phone Number
407-565-9597
Fax Number
407-550-3923

License Information

License Number (1)
F351539-01
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
SP028681
License State (2)
PA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
11014255
License State (3)
FL
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X
License Number (4)
26NJ00812800
License State (4)
NJ
Taxonomy (4)
Nurse Practitioner · 363L00000X · Primary
License Number (5)
262907
License State (5)
AZ
Taxonomy (5)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of William J Kelly, FNP-C?

The NPI number of William J Kelly, FNP-C is 1629574637. It was assigned on March 30, 2018 and is currently active in the NPPES registry.

What is the specialty of William J Kelly, FNP-C?

William J Kelly, FNP-C is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NY under license number F351539-01.

Where does William J Kelly, FNP-C practice?

The practice location is 103 Route 70 E Ste 2, Marlton, NJ 08053-1890. The office can be reached at 856-588-7409 (phone) or 407-550-3923 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629574637 directly on the NPPES registry website.

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