Individual
DR. PETER M KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
536 COTTONWOOD RD, SUITE 100, BOZEMAN, MT 59718
(406) 586-8029
(406) 586-8009
Mailing address
536 COTTONWOOD RD, SUITE 100, BOZEMAN, MT 59718
(406) 586-8029
(406) 586-8009
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD431276
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
11795
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000093258
BCBS OF MONTANA
MT
Enumeration date
04/23/2007
Last updated
10/28/2011
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