Individual
MARGARET ANN KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
870 77TH AVE N STE 1, ST PETERSBURG, FL 33702-5240
(727) 821-3600
(727) 821-3611
Mailing address
870 77TH AVE N STE 1, ST PETERSBURG, FL 33702-5240
(727) 821-3600
(727) 821-3611
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME 63128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1368171
COVENTRY
—
01
—
18974
FL BLUE
FL
01
—
306242
AVMED
—
01
—
7416827
AETNA
—
Enumeration date
05/12/2006
Last updated
05/17/2024
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