Individual
TIMOTHY DWYER KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
720 ESKENAZI AVE FL 3, INDIANAPOLIS, IN 46202-5187
(317) 880-3900
Mailing address
720 ESKENAZI AVE FL 3, INDIANAPOLIS, IN 46202-5187
(317) 880-3900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01092814A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
03/09/2020
Last updated
04/15/2024
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