Kelleher, Mary

Kelleher, Mary is an individual health care provider with primary practice located at 838 Penn St , Reading PA 19602-1108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kelleher, Mary can be contacted via phone (610) 988-4838.

Contact Information

Primary practice address
838 Penn St Reading PA 19602-1108
Phone: (610) 988-4838
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD419172 Pennsylvania

Profile Details

NPI number 1104875491
LBN Legal business name Kelleher, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Oct 19th, 2012 - about 14 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 1104875491 NPPES
Pennsylvania MEDICAID 000196925

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