Kelliher, Allison Miranda

Kelliher, Allison Miranda is an individual health care provider with primary practice located at 4501 Diplomacy Dr , Anchorage AK 99508-5919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kelliher, Allison Miranda can be contacted via phone (907) 729-4955.

Contact Information

Primary practice address
4501 Diplomacy Dr Anchorage AK 99508-5919
Phone: (907) 729-4955
Fax: (907) 562-1603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6536 Alaska

Profile Details

NPI number 1023104908
LBN Legal business name Kelliher, Allison Miranda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Sep 24th, 2012 - about 13 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 1023104908 NPPES
Alaska MEDICAID MD7642

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