Individual
TIMOTHY JOSEPH JOHNSON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2418 E YORK ST, PHILADELPHIA, PA 19125-3006
(833) 351-8255
Mailing address
PO BOX 24449, NEW YORK, NY 10087-0589
(917) 634-5311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
319784
NY
2084P0800X
Psychiatry Physician
35.148944
OH
2084P0800X
Psychiatry Physician
A197043
CA
2084P0800X
Psychiatry Physician
Primary
MD479574
PA
2084P0800X
Psychiatry Physician
MD61328074
WA
Other
Enumeration date
12/12/2015
Last updated
04/15/2025
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