Individual
TIMOTHY ALEXANDER KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
397 WALLACE RD, NASHVILLE, TN 37211-4854
(615) 882-1779
Mailing address
317 TERRI PARK WAY, FRANKLIN, TN 37067-5103
(626) 676-5156
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P1474
TN
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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