Individual provider · Type 1 NPI

Timothy L. Kelly, CRNA

Certified Registered Nurse Anesthetist · West Columbia, SC

NPI number 1770567836 Active

Practice location

2720 Sunset Blvd
West Columbia, SC 29169

Call (803) 935-8292 Map

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice locations

  • 7 Independence Pt Ste 300, Greenville, SC 29615-4569 · (864) 522-3700
  • 67 Creekside Park Ct, Greenville, SC 29615-4810 · (864) 522-3700
  • 701 Grove Rd, Greenville, SC 29605 · (864) 455-7111
  • 67 Creekside Park Ct, Greenville, SC 29615-4810 · (864) 522-3700

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X219 (SC)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1770567836

Timothy L. Kelly, CRNA's National Provider Identifier is 1770567836, issued on Dec 2, 2005. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in West Columbia, SC. The record was last updated on Sep 15, 2025.