# TIMOTHY F. KELLEY, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609948843
- **Authorized official:** DR. TIMOTHY F KELLEY (OWNER)
- **Authorized official phone:** (949) 645-3223

## Contact information

- **Practice address:** 520 SUPERIOR AVE STE 315, NEWPORT BEACH, CA 92663-3667
- **Practice address phone:** (949) 645-3223
- **Practice address fax:** (949) 645-3222
- **Mailing address:** PO BOX 2975, SUISUN CITY, CA 94585-5975
- **Mailing address phone:** (657) 241-3600
- **Mailing address fax:** (657) 241-7708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 11/03/2023