| NPI | 1366626079 |
|---|---|
| Professional Name | ERIC W KELLEHER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003079) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0003079) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2023-10-27 |