Individual
DR. TIMOTHY P KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3098 PIEDMONT RD NE STE 430, ATLANTA, GA 30305-2600
(404) 477-1589
Mailing address
3098 PIEDMONT RD NE STE 430, ATLANTA, GA 30305-2600
(404) 477-1589
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002569
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581926737
FED ID #
GA
Enumeration date
10/17/2006
Last updated
07/08/2007
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