Individual provider · Type 1 NPI
Timothy Michael Kelley Jr., DC
Chiropractor · Heuvelton, NY
NPI number
1356443972
Active
Practice location
94 State St
Heuvelton, NY 13654
Fax (315) 344-7296
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 3060 (MA) |
| Chiropractor Primary | 111N00000X | X011547-1 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
About NPI 1356443972
Timothy Michael Kelley Jr., DC's National Provider Identifier is 1356443972, issued on Sep 3, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Heuvelton, NY. The record was last updated on Sep 18, 2009.