Mr. Timothy Joseph Kelly
Internist Internist - Addiction Medicine
7165 Clearvista Way
Indianapolis
, Indiana 46256-4621
Mr. Timothy Joseph Kelly
Internist Internist - Addiction Medicine
7165 Clearvista Way
Indianapolis
, Indiana 46256-4621
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Mr. Timothy Joseph Kelly
- 6626 E 75th Street Ste 500
- Indianapolis, IN
- Zip : 46250-2890
- Phone :
Second Address
- Mr. Timothy Joseph Kelly
- 7165 Clearvista Way
- Indianapolis, IN
- Zip : 46256-4621
- Fax : (317) 621-7896
- Phone : (317) 621-5100
Reviews
FAQs
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Is Mr. Timothy Joseph Kelly a sole practitioner?
Is Mr. Timothy Joseph Kelly accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 01028972 | IN |
| N | 111NI0900X | Internist | 01028972 | IN |
| Y | 207RA0401X | Internist - Addiction Medicine | 01028972 | IN |
National Provider Identifier
| NPI | 1730297748 |
|---|---|
| Provider Name | Mr. Timothy Joseph Kelly |
| First Address | Indianapolis, IN 46250-2890 |
| Second Address | Indianapolis, IN 46256-4621 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2006 |
| Last Update Date | 01/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000078852 | ANTHEM (01) | IN |
| 000000871726 | ANTHEM (01) | IN |
| 000000871759 | ANTHEM (01) | IN |
| 000000872285 | ANTHEM (01) | IN |
| 100333150 | (05) | IN |
| C24434 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.