Individual provider · Type 1 NPI

Timothy James Kellie, CNP

Nurse Practitioner · Monroe, MI

NPI number 1952848301 Active

Practice location

905 N Macomb St Ste 3
Monroe, MI 48162-3076

Fax (734) 241-3230

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704285899 (MI)
Nurse Massage Therapist (NMT) 163WM1400X7501000754 (MI)
Massage Therapist 225700000X7501000754 (MI)
Nurse Practitioner Primary 363L00000X4704285899 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1952848301

Timothy James Kellie, CNP's National Provider Identifier is 1952848301, issued on Jan 24, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Monroe, MI. The record was last updated on Dec 7, 2023.