# KELLY RAGAN KELLEHER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114253747
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 44194 | AZ | — |
| 208000000X | Pediatrics Physician | R71108 | AZ | — |
| 208M00000X | Hospitalist Physician | 44194 | AZ | Yes |

## Other

- **Enumeration date:** 11/02/2009
- **Last updated:** 04/03/2017