MR. Timothy Kelly SR.
NPI #1083188643 in Independence, Ohio
Provider Information
- NPI Number
- 1083188643
- Entity Type
- Individual
- Name
- MR. Timothy Kelly SR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 17, 2019
- Last Updated
- Aug 8, 2024
Practice Location
- Address
- 6200 ROCKSIDE WOODS BLVD N STE 305
- City
- Independence
- State
- Ohio
- ZIP Code
- 44131-2343
- Phone
- (234) 410-5775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker |
| Peer Specialist |
| Case Manager/Care Coordinator |
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