Timothy Joseph Kelly in Indianapolis - Addiction Medicine
Timothy Joseph Kelly - NPI 1730297748
Timothy Joseph Kelly is a Addiction Medicine in Indianapolis, Indiana. Timothy Joseph Kelly practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Timothy Joseph Kelly is 1730297748. The last update date is 2023-11-27.
Timothy Joseph Kelly's current location address is 7165 Clearvista Way, Indianapolis, Indiana. You can contact this provider via phone number 3176215100 and fax number 3176217896. The mailing address for Timothy Joseph Kelly is 7165 Clearvista Way, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Joseph Kelly |
|---|---|
| Address | 7165 Clearvista Way, Indianapolis, Indiana |
| Phone Number | 3176215100 |
| Fax Number | 3176217896 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1730297748 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 7165 Clearvista Way |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462564621 |
| Phone Number | 3176215100 |
| Fax Number | 3176217896 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 1028972 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 872285 | IN | ANTHEM | |
| 78852 | IN | ANTHEM | |
| 100333150 | IN | -- | |
| 871759 | IN | ANTHEM | |
| 871726 | IN | ANTHEM |
Post Comment/ Review Below
What is the Timothy Joseph Kelly's 1730297748?
The Timothy Joseph Kelly's NPI (National Provider Identifier) Number is 1730297748. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Timothy Joseph Kelly is physically located?
The Timothy Joseph Kelly is physically situated at the following address: 7165 Clearvista Way, Indianapolis, IN, 462564621.
What is Timothy Joseph Kelly's area of expertise and its corresponding taxonomy classification?
The Timothy Joseph Kelly's field of specialization is Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, which categorizes healthcare providers based on their areas of practice.
When did Timothy Joseph Kelly receive its 1730297748 assignment?
The Timothy Joseph Kelly was assigned its 1730297748 on 2006-08-29, which is the date when this unique identifier was issued to the organization.
As of what date were the Timothy Joseph Kelly's details last updated?
The information pertaining to the Timothy Joseph Kelly, including its address, specialty, and other details, was most recently updated on 2023-11-27.