Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. William David Kelley, PA

Individual provider Surgical Physician Assistant · NPI 1952351272

Mr. William David Kelley, PA is a Physician Assistant in Henderson, Nevada. Qualified in 1985, 41 years ago. Practices with Craig M Jorgenson MD Ltd, a 4-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
41
Licensed in
NV
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

100 N Green Valley Pkwy Ste 310
Henderson, NV 89074-6391
Phone: (702) 565-6565
Fax: (702) 565-8898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA1058 (NV)

Record details

NPI number1952351272
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESFebruary 12, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Craig M Jorgenson Md Ltd — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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