Individual
EILEEN KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNS, ACNP
Contact information
Practice address
PUEBLO AT BATH, TRAUMA SERVICES, SANTA BARBARA, CA 93102-0689
(805) 259-5646
Mailing address
PUEBLO AT BATH, TRAUMA SERVICES, SANTA BARBARA, CA 93102-0689
(805) 259-5646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
21010
CA
163W00000X
Registered Nurse
Primary
721463
CA
Other
Enumeration date
08/08/2011
Last updated
04/10/2012
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