Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy J Kelly, MD

Individual provider Otolaryngology Physician · NPI 1689731085

Dr. Timothy J Kelly, MD is an Otolaryngology in Rock Hill, South Carolina. Graduated from University of Michigan Medical School in 1987, 39 years ago. Practices with Charlotte Eye Ear Nose and Throat Associates PA, a 168-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
39
Trained at
University of Michigan Medical School
Licensed in
SC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 S Herlong Ave Ste A
Rock Hill, SC 29732-3399
Phone: (803) 328-1864
Fax: (803) 328-1865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 30274 (SC)

Record details

NPI number1689731085
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 3, 2007
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1987 (39 years in practice)
Group practice Charlotte Eye Ear Nose And Throat Associates Pa — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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