| Tim Kelly, Lcsw, Psychotherapist, Pa | |
|
3706 N Roosevelt Blvd B Key West FL 33040-4566 | |
| (305) 294-1277 | |
| (305) 294-8927 |
| Full Name | Tim Kelly, Lcsw, Psychotherapist, Pa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3706 N Roosevelt Blvd, Key West, Florida |
| Authorized Official Name and Position | Timothy Matthias Kelly (PRESIDENT) |
| Authorized Official Contact | 3058723187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tim Kelly, Lcsw, Psychotherapist, Pa 3706 N Roosevelt Blvd B Key West FL 33040-4566 Ph: (305) 294-1277 | Tim Kelly, Lcsw, Psychotherapist, Pa 3706 N Roosevelt Blvd B Key West FL 33040-4566 Ph: (305) 294-1277 |
| NPI Number | 1457628646 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 11/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457628646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW3573 (Florida) | Primary |
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