Individual provider · Type 1 NPI

Timothy Kelly, PA-C

Physician Assistant · Lewiston, ME

NPI number 1750353710 Active

Practice location

300 Main St
Lewiston, ME 04240-7007

Fax (207) 753-7201

Other practice locations

  • 10 Gove Street, Boston, ME 02132 · (617) 569-5800

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-815 (ME)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750353710

Timothy Kelly, PA-C's National Provider Identifier is 1750353710, issued on Feb 3, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lewiston, ME. The record was last updated on Jan 21, 2026.