Kelahan, Katherine Eileen
Kelahan, Katherine Eileen is an individual health care provider with primary practice located at 12430 Tesson Ferry Rd Suite 352, Saint Louis MO 63128-2702. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kelahan, Katherine Eileen can be contacted via phone (186) 649-5543.Contact Information
Primary practice address
12430 Tesson Ferry Rd Suite 352
Saint Louis MO 63128-2702
Phone: (186) 649-5543
Fax: (186) 649-5244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 2006023062 | Missouri |
Profile Details
| NPI number | 1275678930 |
|---|---|
| LBN Legal business name | Kelahan, Katherine Eileen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275678930 | NPPES |
| Missouri | MEDICAID | 474576501 |
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