Kelly, Timothy Joseph
Kelly, Timothy Joseph is an individual health care provider with primary practice located at 7165 Clearvista Way , Indianapolis IN 46256-4621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Kelly, Timothy Joseph can be contacted via phone (317) 621-5100.Contact Information
Primary practice address
7165 Clearvista Way
Indianapolis IN 46256-4621
Phone: (317) 621-5100
Fax: (317) 621-7896
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01028972 | Indiana |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 01028972 | Indiana |
Profile Details
NPI number | 1730297748 |
---|---|
LBN Legal business name | Kelly, Timothy Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2006 |
Last updated | Nov 27th, 2023 - about last year |
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 | 1730297748 | NPPES |
Indiana | Other | 000000872285 | ANTHEM |
Indiana | Other | 000000078852 | ANTHEM |
Indiana | MEDICAID | 100333150 | ANTHEM |
Indiana | Other | 000000871759 | ANTHEM |
Indiana | Other | 000000871726 | ANTHEM |
Popular Providers
-
Oakley, Robert D
499 E Hampden Ave Ste 300, Englewood CO 80113-2793 -
Levin, Bradley Howard
402 Marvel Ct , Easton MD 21601-4052 -
Frick, Fred W
8205 E 56Th St Suite100, Indianapolis IN 46216-1056 -
Craven, Jeffrey
6527 Colerain Ave , Cincinnati OH 45239 -
Merrick, Bryan Hale
205 Hospital Dr Ste A, Mc Kenzie TN 38201-1649 -
Conteh, Abib T
10330 N Dale Mabry Hwy Suite 190, Tampa FL 33618-4404 -
Olson, Brad A
2250 Chapel Ave W Ste 120 , Cherry Hill NJ 08002-2051 -
Patel, Parag J
446 Morgan St , Cincinnati OH 45206-2348