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1164193751
TIMOTHY PATRICK KELLY
NEPTUNE, NJ
NPI
1164193751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP024404)
Enumeration Date
2021-09-23
Last Update Date
2021-09-23
Business Address
Mr. TIMOTHY PATRICK KELLY CRNP
26 HIGHWAY 35 N
NEPTUNE, NJ 07753-4743
Phone number: 732-456-7777
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Mailing Address
Mr. TIMOTHY PATRICK KELLY CRNP
1580 LAKEWOOD RD STE 16A
TOMS RIVER, NJ 08755-3287
Phone number: 732-456-7777
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