Individual provider
TIMOTHY RICHARD KELLY, MD
CMS NPPES lists TIMOTHY RICHARD KELLY as an individual provider record with NPI 1003026261. The current record reports a primary practice location in OXFORD, MS and primary taxonomy code 2084P0800X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location510 AZALEA DR STE 200OXFORD, MS 386556903
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
2084P0800XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- May 23, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.