DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TIMOTHY KELLY PA-C

MEDICARE: TIMOTHY KELLY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA-815ME

General Provider Information

NPI Number : 1750353710
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY KELLY PA-C
Provider Business Mailing Address
First Line : 300 MAIN ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7027
Country : US
Telephone Number : 207-795-2641
Fax Number : 207-753-7201
Provider Business Practice Location Address
First Line : 300 MAIN ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7007
Country : US
Telephone Number : 207-795-2641
Fax Number : 207-753-7201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 01/21/2026

Similar Medicare Providers

1952395428 — MICHAEL ENG M.D.
Practice Location Address:
300 MAIN ST
LEWISTON, ME
04240-7007
Practice Phone: 207-795-2338
Practice Fax:
1255317293 — RICHARD JACKSON M.D.
Practice Location Address:
300 MAIN ST
LEWISTON, ME
04240-7007
Practice Phone: 207-795-2330
Practice Fax:
1427034461 — GREAT FALLS PATHOLOGY, P.A.
Practice Location Address:
300 MAIN ST
LEWISTON, ME
04240-7007
Practice Phone: 207-795-2330
Practice Fax:
1679559611 — DENNIS RAYMOND NOVAK M.D.
Practice Location Address:
300 MAIN ST
LEWISTON, ME
04240-7007
Practice Phone: 207-795-2330
Practice Fax:
1518943323 — JOHN W SKINNER M.D.
Practice Location Address:
300 MAIN ST
LEWISTON, ME
04240-7007
Practice Phone: 207-795-2338
Practice Fax:
1366429763 — X-RAY PROFESSIONAL ASSOCIATION
Practice Location Address:
300 MAIN ST
LEWISTON, ME
04240-7007
Practice Phone: 207-795-2400
Practice Fax:

Directions to “ TIMOTHY KELLY PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.