Dr Timothy Michael Kelley Jr, DC is a
Chiropractor based in Heuvelton, New York. Dr Timothy Michael Kelley Jr is licensed to practice in New York (license number X011547-1) and his current practice location is
94 State St, Heuvelton, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 344-7296.
NPI number for Dr Timothy Michael Kelley Jr is 1356443972 and his current mailing address is 94 State St, Heuvelton, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356443972.
Healthcare Provider's Profile
| Full Name | Dr Timothy Michael Kelley Jr |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 94 State St, Heuvelton, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356443972
- Provider Enumeration Date: 09/03/2006
- Last Update Date: 09/18/2009
Medical Identifiers
Medical identifiers for Dr Timothy Michael Kelley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356443972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3060 (Massachusetts) | Secondary |
| 111N00000X | Chiropractor | X011547-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy Michael Kelley Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Timothy Michael Kelley Jr, DC
94 State St,
Heuvelton, NY 13654
Ph: (315) 344-7296 | Dr Timothy Michael Kelley Jr, DC
94 State St,
Heuvelton, NY 13654
Ph: (315) 344-7296 |
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