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1073140497
TIMOTHY STEPHEN KELLY
PHILADELPHIA, PA
NPI
1073140497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA MD484814)
Enumeration Date
2020-03-25
Last Update Date
2024-10-10
Business Address
TIMOTHY STEPHEN KELLY
700 SPRUCE STREET PINE BASEMENT WEST
PHILADELPHIA, PA 19106-4022
Phone number: 206-852-0887
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Mailing Address
TIMOTHY STEPHEN KELLY
3400 SPRUCE ST GRD RAVDIN
PHILADELPHIA, PA 19104
Phone number: 206-852-0887
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