Tim Kelly

NPI #1568875631 in Moline, Illinois

Provider Information

NPI Number: 1568875631
Entity Type: Individual
Name: Tim Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Health Educator
Enumeration Date: Jun 6, 2014
Last Updated: Jun 6, 2014

Practice Location

Address: 2316 5TH AVE
City: Moline
State: Illinois
ZIP Code: 61265-1530
Phone: (309) 762-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Community Health Worker	172V00000X
Health Educator	174H00000X	Primary
Technician, Pathology - Phlebotomy — Phlebotomy	246RP1900X

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Organizations

Provider Name	Specialty	City
Two Rivers Young Men's Christian Association Inc.	Health Educator	Moline	AI Deep Dive
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