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1679654057
TIMOTHY P KELLEY
MOORESVILLE, NC
NPI
1679654057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 001000651)
Enumeration Date
2006-10-18
Last Update Date
2020-09-09
Business Address
Mr. TIMOTHY P KELLEY PA-C
202 WILLIAMSON RD STE 100
MOORESVILLE, NC 28117-7610
Phone number: 704-799-7811
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Mailing Address
Mr. TIMOTHY P KELLEY PA-C
202 WILLIAMSON RD STE 100
MOORESVILLE, NC 28117-7610
Phone number: 704-799-7811
Copy
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