TIMOTHY L KELLY

WEST COLUMBIA, SC
NPI1770567836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  219)
Enumeration Date2005-12-02
Last Update Date2025-09-15
Business Address
TIMOTHY L KELLY CRNA
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Phone number: 803-935-8292
Mailing Address
TIMOTHY L KELLY CRNA
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-791-2203
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