TIMOTHY KELLY

LEWISTON, ME
NPI1750353710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA-815)
Enumeration Date2006-02-03
Last Update Date2013-11-06
Business Address
-- TIMOTHY KELLY PA-C
300 MAIN ST
LEWISTON, ME 04240-7007
Phone number: 207-795-2641
Mailing Address
-- TIMOTHY KELLY PA-C
300 MAIN ST
LEWISTON, ME 04240-7007
Phone number: 207-795-2641
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