Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL MITCHELL KELLEHER
Active OrganizationPAUL MITCHELL KELLEHER is a Sports Medicine (PM&R) organization located in STATEN ISLAND, New York. NPI 1598966244 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · STATEN ISLAND, NY
Registration Details
- NPI Number
- 1598966244
- Provider Type
- Organization
- NPI Issued
- May 30, 2007 (19.254720275478 yrs)
- Last Updated
- Aug 22, 2020
- License
-
206597 (NY)
Practice Information
- Address
-
4434 AMBOY RDSTATEN ISLAND, NY, 103123866Browse NY providers · Browse ZIP 10312
- Phone
- 7182277015
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.