Individual
VINCENT KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
H.A.S.
Contact information
Practice address
233 SW DE GOUVEA TER, PORT SAINT LUCIE, FL 34984-4413
(772) 237-0133
Mailing address
233 SW DE GOUVEA TER, PORT SAINT LUCIE, FL 34984-4413
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS 5035
FL
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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