Individual
GEORGE TIMOTHY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7200 CATHEDRAL ROCK DR, #110, LAS VEGAS, NV 89128-0438
(702) 341-5444
(702) 341-5445
Mailing address
7200 CATHEDRAL ROCK DR STE 110, LAS VEGAS, NV 89128-0439
(702) 341-5444
(702) 341-5445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD5260
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-0388402
TAX ID #
NV
Enumeration date
03/02/2006
Last updated
02/25/2026
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