Individual
MS. LISA A KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
550 S BERETANIA ST, HONOLULU, HI 96813-2414
(808) 538-9011
Mailing address
550 S BERETANIA ST, HONOLULU, HI 96813-2414
(808) 538-9011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1423
HI
Other
Enumeration date
01/14/2012
Last updated
04/28/2013
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