Individual
BRIAN M KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-2211
(406) 375-4590
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-2211
(406) 375-4590
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10063
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0352066
—
MT
05
—
1790722775
—
ID
05
—
1790722775
—
MT
05
—
1790722775
—
WA
Enumeration date
05/31/2006
Last updated
11/05/2015
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