Individual
TIMOTHY RAYMOND KELLIHER
Active
Individual
TIMOTHY RAYMOND KELLIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
75613
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
722666
TUFTS
—
01
—
814325
AETNA USHC
—
05
—
A20168
—
MA
01
—
DM9771
HCHP
—
01
—
J31266
BLUE CROSS
—
Enumeration date
09/11/2006
Last updated
06/30/2025
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