Kelly, George Timothy

Kelly, George Timothy is an individual health care provider with primary practice located at 7200 Cathedral Rock Dr #110, Las Vegas NV 89128-0438. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kelly, George Timothy can be contacted via phone (702) 341-5444.

Contact Information

Primary practice address
7200 Cathedral Rock Dr #110 Las Vegas NV 89128-0438
Phone: (702) 341-5444
Fax: (702) 341-5445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD5260 Nevada

Profile Details

NPI number 1619944113
LBN Legal business name Kelly, George Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Sep 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619944113 NPPES
Nevada Other 88-0388402 TAX ID #

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