Timothy Michael Kelley Jr., DC

Chiropractor · Heuvelton, NY

Individual Active NPI

NPI number 1356443972

Practice location

94 State St
Heuvelton, NY 13654
Phone
(315) 344-7296
Fax
(315) 344-7296

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NPI record

NPI
1356443972
Entity type
Individual (Type 1)
Enumeration date
September 3, 2006
Last updated
September 18, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X X011547-1 NY
Chiropractor 111N00000X 3060 MA

About Dr. Kelley

Timothy Michael Kelley Jr., DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 94 State St, Heuvelton, NY 13654. The NPI number 1356443972 was assigned on September 3, 2006 and the record was last updated on September 18, 2009.

Dr. Kelley lists 2 licenses in the registry: #X011547-1 (NY) for Chiropractor; #3060 (MA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy Michael Kelley Jr., DC?

The NPI number is 1356443972.

What is the phone number of Dr. Kelley?

The phone number listed for the practice location is (315) 344-7296.

Where is Dr. Kelley located?

94 State St, Heuvelton, NY 13654.

What is the taxonomy code for Dr. Kelley?

The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.