Individual
TIMOTHY STEPHEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 SPRUCE STREET, PINE BASEMENT WEST, PHILADELPHIA, PA 19106-4022
(215) 829-3358
(215) 829-3438
Mailing address
700 SPRUCE STREET, PHILADELPHIA, PA 19106-4022
(215) 829-3358
(215) 829-3438
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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