# PAUL MITCHELL KELLEHER DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871831669
- **Authorized official:** PAUL MITCHELL KELLEHER (OWNER)
- **Authorized official phone:** (908) 647-1148

## Contact information

- **Practice address:** 49 W RAYBURN RD, MILLINGTON, NJ 07946-1502
- **Practice address phone:** (908) 542-1792
- **Mailing address:** 49 W RAYBURN RD, MILLINGTON, NJ 07946-1502
- **Mailing address phone:** (908) 542-1792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 206597 | NY | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | MB069632 | NJ | — |

## Other

- **Enumeration date:** 01/29/2013
- **Last updated:** 05/05/2015