Individual
KATHARINE ASHLEY KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 S WEBER ST STE 200, COLORADO SPRINGS, CO 80903-1928
(866) 226-8576
Mailing address
6052 SIERRA GRANDE PT, COLORADO SPRINGS, CO 80923-3882
(909) 938-5409
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26-2707834
—
CO
Enumeration date
03/01/2023
Last updated
03/01/2023
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