Kelleher, Kathleen Ann
Kelleher, Kathleen Ann is an individual health care provider with primary practice located at 30 Chase Ave Edmund Ervin Pediatric Center, Waterville ME 04901-4624. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Kelleher, Kathleen Ann can be contacted via phone (207) 872-4390.Contact Information
Primary practice address
30 Chase Ave Edmund Ervin Pediatric Center
Waterville ME 04901-4624
Phone: (207) 872-4390
Fax: (207) 872-4294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT982 | Maine |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT982 | Maine |
Profile Details
| NPI number | 1083834485 |
|---|---|
| LBN Legal business name | Kelleher, Kathleen Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Jul 8th, 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 | 1083834485 | NPPES |
| Maine | Other | PT982 | PHYSICAL THERAPY LICENSE |
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