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Ms. Kathleen Ann Kelleher

Physical Therapist Physical Therapist - Pediatrics

30 Chase Ave Edmund Ervin Pediatric Center
Waterville , Maine 04901-4624

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Ms. Kathleen Ann Kelleher

Physical Therapist Physical Therapist - Pediatrics

30 Chase Ave Edmund Ervin Pediatric Center
Waterville , Maine 04901-4624

(207) 873-1705

Write a Review Save Call

Ms. Kathleen Ann Kelleher

Physical Therapist Physical Therapist - Pediatrics

30 Chase Ave Edmund Ervin Pediatric Center
Waterville , Maine 04901-4624

(207) 873-1705 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist
  • Physical Therapist - Pediatrics

Languages spoken

  • English

Location

30 Chase Ave Edmund Ervin Pediatric Center Waterville , Maine 04901-4624

First Address

  • Ms. Kathleen Ann Kelleher
  • 48 Johnson Hts
  • Waterville, ME
  • Zip : 04901-4907
  • Phone : (207) 873-1705

Second Address

  • Ms. Kathleen Ann Kelleher
  • 30 Chase Ave Edmund Ervin Pediatric Center
  • Waterville, ME
  • Zip : 04901-4624
  • Fax : (207) 872-4294
  • Phone : (207) 872-4390

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FAQs


Where did Ms. Kathleen Ann Kelleher attend graduate school?

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Where did Ms. Kathleen Ann Kelleher do her residency?

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Where did Ms. Kathleen Ann Kelleher do her fellowship?

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Is Ms. Kathleen Ann Kelleher board certified?

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In what state does Ms. Kathleen Ann Kelleher practice in?

Maine

Where is Ms. Kathleen Ann Kelleher ’s practice located?

30 Chase Ave Edmund Ervin Pediatric Center , Waterville, Maine, 04901-4624

What is Ms. Kathleen Ann Kelleher ’s gender?

Female

Is Ms. Kathleen Ann Kelleher a sole practitioner?

No

Is Ms. Kathleen Ann Kelleher accepting new patients?

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What languages does Ms. Kathleen Ann Kelleher speak?

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Does Ms. Kathleen Ann Kelleher accept insurance?

Yes, Ms. Kathleen Ann Kelleher accepts insurance

Does Ms. Kathleen Ann Kelleher offers telemedicine?

Ms. Kathleen Ann Kelleher has not indicated if she offers telemedicine

What is Ms. Kathleen Ann Kelleher ’s professional license number?

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What is Ms. Kathleen Ann Kelleher ’s NPI number?

1083834485

Does Ms. Kathleen Ann Kelleher have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 225100000X Physical Therapist PT982 ME
N 2251P0200X Physical Therapist - Pediatrics PT982 ME

National Provider Identifier

NPI 1083834485
Provider Name Ms. Kathleen Ann Kelleher
First Address Waterville, ME 04901-4907
Second Address Waterville, ME 04901-4624
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 26/04/2007
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
PT982 PHYSICAL THERAPY LICENSE (01) ME

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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