Individual
DR. VIRGINIA ELLEN KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3920 W 166TH ST, WESTFIELD, IN 46074-9628
(317) 867-5833
Mailing address
3920 W 166TH ST, WESTFIELD, IN 46074-9628
(317) 867-5833
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01025382A
IN
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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