Individual
TIMOTHY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7007
(207) 795-2641
(207) 753-7201
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-2641
(207) 753-7201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-815
ME
Other
Enumeration date
02/03/2006
Last updated
01/21/2026
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