Kelly, Timothy

Kelly, Timothy is an individual health care provider with primary practice located at 300 Main St , Lewiston ME 04240-7007. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kelly, Timothy can be contacted via phone (207) 795-2641.

Contact Information

Primary practice address
300 Main St Lewiston ME 04240-7007
Phone: (207) 795-2641
Fax: (207) 753-7201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-815 Maine

Profile Details

NPI number 1750353710
LBN Legal business name Kelly, Timothy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Nov 6th, 2013 - about 12 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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