Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIM RAY KELLY
Active Sole ProprietorTIM RAY KELLY is a Peer Specialist healthcare provider located in LINCOLN CITY, Oregon. NPI 1003535386 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · LINCOLN CITY, OR
Registration Details
- NPI Number
- 1003535386
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2022 (3.9404763721152 yrs)
- Last Updated
- Aug 22, 2022
- License
-
THW000106995 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1221 NW HIGHWAY 101 STE ALINCOLN CITY, OR, 973673351Browse OR providers · Browse ZIP 97367
- Phone
- 4422441336
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in LINCOLN CITY, OR
| Name | Credential | NPI |
|---|---|---|
| MARI RUTH ANGELINE SCHUMAN | — | 1114566759 |
| AUSTYN LARSON | — | 1952940595 |
| SHARON LYNN PADILLA | — | 1912546599 |
| DANNY DRYDEN | CRM | 1689263337 |
| ADRIANA BUER | — | 1174112825 |
| YEVETTE WRIGHT | — | 1730821414 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.