TIMOTHY G KELLY M.D. NPI 1497758825

NPI Information

NPI: 1497758825
Provider Name: TIMOTHY G KELLY, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
1915 TRADD CT
WILMINGTON, NC
ZIP 28401
Phone: (910) 762-0057
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Timothy G Kelly, M.D. is an ophthalmology in Wilmington, NC. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Timothy G Kelly, M.D. NPI is 1497758825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1915 TRADD CT
WILMINGTON, NC
ZIP 28401-638
Phone: (910) 762-0057
Fax: (910) 762-0336

The enumeration date for this NPI number is 5/31/2005 and was last updated on 10/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		33074	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0838871	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
2	D33142	MEDICARE UPIN	NORTH CAROLINA
3	0210J	OTHER	NORTH CAROLINA	BCBS
4	890210J	MEDICAID	NORTH CAROLINA
5	207802A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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