Individual
HEATHER KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
8600 SHERIDAN DR, 2A, WILLIAMSVILLE, NY 14221
(716) 626-7415
Mailing address
108 BOLL ST, SLOAN, NY 14212-2213
(716) 228-8126
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008952
NY
Other
Enumeration date
03/29/2017
Last updated
08/01/2018
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