Kellie, Timothy James

Kellie, Timothy James is an individual health care provider with primary practice located at 905 N Macomb St Ste 3 , Monroe MI 48162-3076. He recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Nurse Massage Therapist (NMT), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Kellie, Timothy James can be contacted via phone (734) 241-0560.

Contact Information

Primary practice address
905 N Macomb St Ste 3 Monroe MI 48162-3076
Phone: (734) 241-0560
Fax: (734) 241-3230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704285899 Michigan
Nursing Service Providers / Nurse Massage Therapist (NMT) 163WM1400X 7501000754 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7501000754 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704285899 Michigan

Profile Details

NPI number 1952848301
LBN Legal business name Kellie, Timothy James
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Dec 7th, 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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