Individual
TIMOTHY KILKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP, PMHNP-BC
Contact information
Practice address
1700 MARKET ST STE 1005, PHILADELPHIA, PA 19103-3920
(855) 444-7258
(877) 261-8495
Mailing address
1700 MARKET ST STE 1005, PHILADELPHIA, PA 19103-3920
(855) 444-7258
(877) 261-8495
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN721134
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP028993
PA
Other
Enumeration date
01/13/2023
Last updated
11/06/2025
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