Dr. Robert Kelleher
Orthodontists
13385 Folsom Blvd
Folsom
, California 95630-8004
Dr. Robert Kelleher
Orthodontists
13385 Folsom Blvd
Folsom
, California 95630-8004
(916) 985-6109
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Robert Kelleher
- 13385 Folsom Blvd
- Folsom, CA
- Zip : 95630-8004
- Fax : (916) 985-6109
- Phone : (916) 985-8420
Second Address
- Dr. Robert Kelleher
- 13385 Folsom Blvd
- Folsom, CA
- Zip : 95630-8004
- Fax : (916) 985-6109
- Phone : (916) 985-8420
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | J 28736 | CA |
National Provider Identifier
| NPI | 1053513531 |
|---|---|
| Provider Name | Dr. Robert Kelleher |
| First Address | Folsom, CA 95630-8004 |
| Second Address | Folsom, CA 95630-8004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.