Timothy P Kelly is a Sports in Tamaqua, Pennsylvania. Timothy P Kelly practices all healthcare services and medical treatments related to Sports. The NPI Number for Timothy P Kelly is 1093702441. The last update date is 2007-07-19.
Timothy P Kelly's current location address is 219 Claremont Ave, Tamaqua, Pennsylvania. You can contact this provider via phone number 5706681889 and fax number 5706686115. The mailing address for Timothy P Kelly is 219 Claremont Ave, Tamaqua, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy P Kelly |
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Address | 219 Claremont Ave, Tamaqua, Pennsylvania |
Phone Number | 5706681889 |
Fax Number | 5706686115 |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1093702441 |
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Provider Enumeration Date | 2005-09-30 |
Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
Address | 219 Claremont Ave |
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City | Tamaqua |
State | Pennsylvania (PA) |
Post Code | 182524431 |
Phone Number | 5706681889 |
Fax Number | 5706686115 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3022001 | CAPITAL BLUE CROSS | ||
102808 | HIGHMARK BLUE SHIELD | ||
43037000 | INDEPENDENCE BLUE CROSS | ||
102808 | KEYSTONE | ||
11228087 | CAQH | ||
72236 | FIRST PRIORITY HEALTH | ||
2106682 | AETNA HMO | ||
202760 | HEALTH ASSURANCE | ||
5039607 | AETNA PPO |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy P Kelly by the Centers for Medicare & Medicaid Services?
The Timothy P Kelly has been assigned the NPI (National Provider Identifier) 1093702441. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Timothy P Kelly is physically located?
The Timothy P Kelly is situated at the following address: 219 Claremont Ave, Tamaqua, PA 182524431.
What is Timothy P Kelly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy P Kelly's specialized field of practice is Sports, and the corresponding taxonomy code that categorizes this area of specialization is 2251S0007X.
When did the Timothy P Kelly receive its 1093702441?
The Timothy P Kelly was issued its 1093702441 on 2005-09-30, which is the date when the organization was assigned this unique identifier.
When was the information regarding Timothy P Kelly most recently updated?
The details pertaining to the Timothy P Kelly, including its address, specialty, and other relevant information, were last refreshed on 2007-07-19.