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Contact Information

TIMOTHY S KELLY, MD
700 SPRUCE STREET
PINE BASEMENT WEST
PHILADELPHIA, PA19106-4022
 Phone: 215-829-3358
 Fax: 215-829-3438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY S KELLY · (Male)

NPI Number 1073140497
Status Active
Credentials MD
Entity Individual
Enumeration date 03/25/2020
Last updated 08/27/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • PA License # MD484814
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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