Paul Dennis Kelleher in Westlake - Physician Assistant

Paul Dennis Kelleher - NPI 1386652592

Paul Dennis Kelleher is a Physician Assistant in Westlake, Ohio. Paul Dennis Kelleher practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Paul Dennis Kelleher is 1386652592. The last update date is 2018-09-14.

Paul Dennis Kelleher's current location address is 24723 Detroit Rd, Westlake, Ohio. You can contact this provider via phone number 4408921440 and fax number 4408924709. The mailing address for Paul Dennis Kelleher is 24723 Detroit Rd, Westlake, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Dennis Kelleher
Address 24723 Detroit Rd, Westlake, Ohio
Phone Number 4408921440
Fax Number 4408924709
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1386652592
Provider Enumeration Date 2006-08-03
Last Updated Date 2018-09-14

Provider Mailing Address Detail

Address 24723 Detroit Rd
City Westlake
State Ohio (OH)
Post Code 441452526
Phone Number 4408921440
Fax Number 4408924709

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 50-00-0492
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000015457-00 OH WORKERS COMPENSATION

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FAQs about Paul Dennis Kelleher

What is the unique identifier code issued to Paul Dennis Kelleher by the Centers for Medicare & Medicaid Services?

The Paul Dennis Kelleher has been assigned the NPI (National Provider Identifier) 1386652592. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Paul Dennis Kelleher's facilities are situated?

The facilities of Paul Dennis Kelleher are physically located at the following address: 24723 Detroit Rd, Westlake, OH, 441452526.

What is Paul Dennis Kelleher's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Paul Dennis Kelleher is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date was the 1386652592 assigned to Paul Dennis Kelleher?

The Paul Dennis Kelleher was issued its 1386652592 on 2006-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Paul Dennis Kelleher most recently updated?

The details pertaining to the Paul Dennis Kelleher, including its address, specialty, and other relevant information, were last refreshed on 2018-09-14.

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