Organization
PAUL MITCHELL KELLEHER DO LLC
Active
Organization
PAUL MITCHELL KELLEHER DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MITCHELL KELLEHER (OWNER)
(908) 647-1148
Entity
Organization
Contact information
Practice address
49 W RAYBURN RD, MILLINGTON, NJ 07946-1502
(908) 542-1792
Mailing address
49 W RAYBURN RD, MILLINGTON, NJ 07946-1502
(908) 542-1792
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
206597
NY
208100000X
Physical Medicine & Rehabilitation Physician
MB069632
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02057174
—
NY
Enumeration date
01/29/2013
Last updated
05/05/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up