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Individual
TIMOTHY STEPHEN KELLY
Active
Individual
TIMOTHY STEPHEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD484814
PA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD484814
PA
Other
Enumeration date
03/25/2020
Last updated
08/27/2025
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