Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN J KELLEHER, MD
ActiveDR. KEVIN J KELLEHER, MD is a Family Medicine healthcare provider located in RESTON, Virginia. NPI 1689674202 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RESTON, VA
Registration Details
- NPI Number
- 1689674202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2005 (21.007758376747 yrs)
- Last Updated
- Sep 10, 2014
- License
-
0101054571 (VA)
Practice Information
- Address
-
12040 S LAKES DRSTE 207RESTON, VA, 201911246Browse VA providers · Browse ZIP 20191
- Phone
- 7034640686
- Fax
- 7034640698
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in RESTON, VA
| Name | Credential | NPI |
|---|---|---|
| DR. ALLEN KINNE HOWE JR. | M.D. | 1548268857 |
| DR. MORAYO O OMOJOKUN | M.D. | 1700887486 |
| DR. ANDREW J HARDING | MD | 1699769745 |
| DR. NATHAN N TRAN | MD | 1811981475 |
| DR. JOHN YOUK | M.D. | 1760478176 |
| STEVEN DOUGLAS LARSON | M.D. | 1699761676 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.