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Individual

MS. ELLIS A. KEHOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
1829 E FRANKLIN ST, BLDG. # 600, CHAPEL HILL, NC 27514-5861
(919) 968-3456
(919) 932-3456
Mailing address
5405 BEAUMONT DR, DURHAM, NC 27707-9786
(919) 968-3456
(919) 932-3456

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
0211
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1189N
BLUE CROSS
NC
05
7301285
NC
Enumeration date
01/15/2007
Last updated
09/11/2025
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