Individual
LINDA JOAN KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
13 GINGER LAKE DR W, GLEN CARBON, IL 62034-3304
(618) 610-5977
Mailing address
13 GINGER LAKE DR W, GLEN CARBON, IL 62034-3304
(618) 610-5977
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2003001303
MO
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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