Mr. Timothy Kelley is a Memphis, Tennessee based nurse anesthetist with 22 years of experience as Anesthesia Administration. He completed he graduation from University Of Tennessee, Hsc, College Of Medicine in 2003. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Timothy Kelley is 10994 for Anesthesia Administration in Tennessee. his current practice location is 877 Jefferson Ave, Memphis. Patients can reach him at 901-448-5893 or can fax him at 901-448-5540. Mr. Timothy Kelley is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1376501395. Mr. Timothy Kelley is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. Timothy Kelley speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
22+ years
Medical School Attended:
University Of Tennessee, Hsc, College Of Medicine
Graduation Year:
2003
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
877 Jefferson Ave, Memphis, Tennessee, 38103-2807
Phone:
901-448-5893
Fax:
901-448-5540
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0143214254
Enrollment ID:
I20040412001549
NPI Number:
1376501395
NPI Enumeration Date:
01 May, 2006
NPI Last Update On:
30 Jun, 2016
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Timothy Kelley are as mentioned below.
License Number
Specialization
State
Status
10994
Anesthesia Administration
Tennessee
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Timothy Kelley has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ut Regional One Physicians Inc (5698993418)
265
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Timothy Kelley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3628056
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
877 Jefferson Ave, Attn: Provider Enrollment Memphis, Tennessee
Zip:
38103-2807
Phone Number:
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Fax Number:
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Patients can reach Mr. Timothy Kelley at 877 Jefferson Ave, Memphis, Tennessee or can call to book an appointment on 901-448-5893.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.