Kelleher, Paul Dennis

Kelleher, Paul Dennis is an individual health care provider with primary practice located at 24723 Detroit Rd , Westlake OH 44145-2526. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Kelleher, Paul Dennis can be contacted via phone (440) 892-1440.

Contact Information

Primary practice address
24723 Detroit Rd Westlake OH 44145-2526
Phone: (440) 892-1440
Fax: (440) 892-4709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50-00-0492 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50-00-0492 Ohio

Profile Details

NPI number 1386652592
LBN Legal business name Kelleher, Paul Dennis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Sep 14th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386652592 NPPES
Ohio Other 000015457-00 WORKERS COMPENSATION

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