Kelly, Timothy F
Kelly, Timothy F is an individual health care provider with primary practice located at 1840 Mease Dr Suite 406, Safety Harbor FL 34695-6602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kelly, Timothy F can be contacted via phone (727) 712-8222.Contact Information
Primary practice address
1840 Mease Dr Suite 406
Safety Harbor FL 34695-6602
Phone: (727) 712-8222
Fax: (727) 712-8229
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME0039333 | Florida |
Profile Details
NPI number | 1184606816 |
---|---|
LBN Legal business name | Kelly, Timothy F |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2005 |
Last updated | Feb 18th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184606816 | NPPES |
Florida | MEDICAID | 110257000 |
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