Individual
DR. MICHAEL S KELLEHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 LOTHROP ST STE 700, PITTSBURGH, PA 15213-2536
(740) 504-9671
Mailing address
17921 VILLA CLUB WAY, BOCA RATON, FL 33496-1000
(860) 620-7298
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
54974
CT
2085R0202X
Diagnostic Radiology Physician
Primary
54974
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2011
Last updated
09/20/2024
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