Most Relevant Information
Provider Data
| NPI Number: | 1003026261 |
| Provider Name: | TIMOTHY RICHARD KELLY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 17172 |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
510 AZALEA DR STE 200
OXFORD
MS
386556903
Practice Location Phone/Fax
| Phone: | 6622366696 |
| Fax: |
Provider Mailing Location
438 COUNTY ROAD 471
WATER VALLEY
MS
389653778
Provider Mailing Phone/Fax
| Phone: | 6622810945 |
| Fax: |
Suggested EMR
Psychiatry EMR