Kelly, Timothy P

Kelly, Timothy P is an individual health care provider with primary practice located at 219 Claremont Ave , Tamaqua PA 18252-4431. He recently has 6 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Kelly, Timothy P can be contacted via phone (570) 668-1889.

Contact Information

Primary practice address
219 Claremont Ave Tamaqua PA 18252-4431
Fax: (570) 668-6115
Website:

Profile Details

NPI number 1093702441
LBN Legal business name Kelly, Timothy P
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 19th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093702441 NPPES
Other 03022001 CAPITAL BLUE CROSS
Other 102808 CAPITAL BLUE CROSS
Other 43037000 CAPITAL BLUE CROSS
Other 102808 CAPITAL BLUE CROSS
Other 11228087 CAPITAL BLUE CROSS
Other 072236 CAPITAL BLUE CROSS
Other 2106682 CAPITAL BLUE CROSS
Other 0202760 CAPITAL BLUE CROSS
Other 5039607 CAPITAL BLUE CROSS

Popular Providers