All Medicaid billing entities listing KELLY, TIM (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $9K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ST. WILLIAM'S LIVING CENTER | PARKERS PRAIRIE, MN | Skilled Nursing Facility | $9K |