Individual
TIMOTHY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
477 COOPER RD, SUITE 440, WESTERVILLE, OH 43081-8053
(614) 898-5561
(614) 898-5563
Mailing address
477 COOPER RD, SUITE 440, WESTERVILLE, OH 43081-8053
(614) 898-5561
(614) 898-5563
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35042997
OH
Other
Enumeration date
06/15/2006
Last updated
01/19/2009
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