Individual
DANIEL A. KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
157 UNION ST, DEPARTMENT OF EMERGENCY MEDICINE, MARLBOROUGH, MA 01752-1228
(508) 421-1400
(508) 421-1490
Mailing address
22 BAKER ST, FOXBORO, MA 02035-1902
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN267406
MA
363LA2100X
Acute Care Nurse Practitioner
RN267406
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110097151A
—
MA
Enumeration date
10/22/2010
Last updated
03/05/2025
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