Conrad John Kelleher in St John - Private Vehicle

Conrad John Kelleher - NPI 1225252851

Conrad John Kelleher is a Private Vehicle in St John, Indiana. Conrad John Kelleher practices all healthcare services and medical treatments related to Private Vehicle. The NPI Number for Conrad John Kelleher is 1225252851. The last update date is 2007-07-08.

Conrad John Kelleher's current location address is 9471 Clarmonte Drive, St John, Indiana. You can contact this provider via phone number 2193657676. The mailing address for Conrad John Kelleher is 9471 Clarmonte Drive, St John, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Conrad John Kelleher
Address 9471 Clarmonte Drive, St John, Indiana
Phone Number 2193657676
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1225252851
Provider Enumeration Date 2007-04-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9471 Clarmonte Drive
City St John
State Indiana (IN)
Post Code 463739699
Phone Number 2193657676
Fax Number

Provider's Primary Taxonomy Detail

Speciality Private Vehicle
Taxonomy 347C00000X
Definition:
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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FAQs about Conrad John Kelleher

What is the Conrad John Kelleher's 1225252851?

The Conrad John Kelleher's NPI (National Provider Identifier) Number is 1225252851. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Conrad John Kelleher is located?

The Conrad John Kelleher is situated at the following address: 9471 Clarmonte Drive, St John, IN, 463739699.

What is the Conrad John Kelleher's specialty and taxonomy code?

The Conrad John Kelleher's specialty is Private Vehicle, and the corresponding taxonomy code is 347C00000X.

On what date did the Conrad John Kelleher receive the assignment of its 1225252851 from the Centers for Medicare & Medicaid Services?

The Conrad John Kelleher was issued its 1225252851 by the Centers for Medicare & Medicaid Services on 2007-04-13.

As of what date was the information pertaining to Conrad John Kelleher, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Conrad John Kelleher, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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