Individual
DENISE KELLAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2808 MALLARD LN, PLACERVILLE, CA 95667-8770
(530) 621-7580
Mailing address
PO BOX 1086, FOLSOM, CA 95763-1086
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A9529
CA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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