Individual
TIMOTHY RAYMOND KELLIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
152 CONANT ST STE 200, BEVERLY, MA 01915-1659
(978) 922-2226
(978) 922-2269
Mailing address
152 CONANT ST STE 200, BEVERLY, MA 01915-1659
(978) 922-2226
(978) 922-2269
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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