Organization · Type 2 NPI

Timothy M Kelley DC PLLC

Clinic/Center · Heuvelton, NY

NPI number 1104093749 Active

Practice location

94 State St
Heuvelton, NY 13654

Fax (315) 344-7296

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XX011547-1 (NY)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1104093749

Timothy M Kelley DC PLLC's National Provider Identifier is 1104093749, issued on May 13, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Heuvelton, NY. The record was last updated on May 13, 2008.