Individual
DR. KENNETH SHERRARD KELLEHER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D., FACS
Contact information
Practice address
NATIONAL NAVAL MEDICAL CENTER, 8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-4472
(301) 295-0959
Mailing address
1311 ROOSEVELT ST, ALEXANDRIA, VA 22302-3129
(703) 671-1386
(301) 295-0959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101032853
VA
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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