Tim Ray Kelly
NPI #1003535386 in Lincoln City, Oregon
Provider Information
- NPI Number
- 1003535386
- Entity Type
- Individual
- Name
- Tim Ray Kelly
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Aug 22, 2022
- Last Updated
- Aug 22, 2022
Practice Location
- Address
- 1221 NW HIGHWAY 101 STE A
- City
- Lincoln City
- State
- Oregon
- ZIP Code
- 97367-3351
- Phone
- (442) 244-1336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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