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

Mr. Timothy Kelley, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1376501395

Mr. Timothy Kelley, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Memphis, Tennessee. Qualified in 2003, 23 years ago. Practices with Southeast Missouri Hospital Physicians LLC, a 206-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
23
Licensed in
TN
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

877 Jefferson Ave
Memphis, TN 38103-2807
Phone: (901) 448-5893
Fax: (901) 448-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 10994 (TN)

Record details

NPI number1376501395
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESJune 30, 2016

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Southeast Missouri Hospital Physicians Llc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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