Kelley, Timothy

Kelley, Timothy is an sole proprietor health care provider with primary practice located at 520 Superior Ave Ste 315 , Newport Beach CA 92663-3667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Kelley, Timothy can be contacted via phone (949) 645-3223.

Contact Information

Primary practice address
520 Superior Ave Ste 315 Newport Beach CA 92663-3667
Phone: (949) 645-3223
Fax: (949) 645-3222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X G78999 California

Profile Details

NPI number 1871528802
LBN Legal business name Kelley, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Nov 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871528802 NPPES
California MEDICAID 00G789990

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