Individual
KRISTEN KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
68 RIVER RD, SUMMIT, NJ 07901-1450
(908) 277-0800
Mailing address
333 EARLE OVINGTON BLVD, SUITE 225, UNIONDALE, NY 11553-3610
(516) 321-2400
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
001860
NY
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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