DR. KEVIN KELLEHER, MD

Family Medicine

Active Individual
NPI: 1689674202

Practice Address

12040 S LAKES DR
STE 207
Reston, VA 20191

Phone: (703) 464-0686

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 0101054571 (VA)

Frequently Asked Questions

NPI 1689674202 is the National Provider Identifier for DR. KEVIN KELLEHER, MD, a Family Medicine provider located in Reston, VA. This NPI was enumerated on July 26, 2005.
DR. KEVIN KELLEHER, MD practices at 12040 S LAKES DR, STE 207, Reston, VA 20191.

Quick Facts

NPI
1689674202
Type
Individual
Enumerated
Jul 26, 2005
Last Updated
Sep 10, 2014

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