Individual
J DANIEL KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT (R) (MR) ARRT
Contact information
Practice address
24 ROY ST # 457, SEATTLE, WA 98109-4018
(206) 289-0572
Mailing address
24 ROY ST # 457, SEATTLE, WA 98109-4018
(206) 289-0572
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
286250
FL
247100000X
Radiologic Technologist
Primary
60473309
WA
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
286250
FL
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
60473309
WA
Other
Enumeration date
07/11/2014
Last updated
06/25/2016
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