Individual
MS. KATHLEEN ANN KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
30 CHASE AVE, EDMUND ERVIN PEDIATRIC CENTER, WATERVILLE, ME 04901-4624
(207) 872-4390
(207) 872-4294
Mailing address
48 JOHNSON HTS, WATERVILLE, ME 04901-4907
(207) 873-1705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT982
ME
2251P0200X
Pediatric Physical Therapist
PT982
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT982
PHYSICAL THERAPY LICENSE
ME
Enumeration date
04/26/2007
Last updated
09/11/2025
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