Healthcare Provider Details

I. General information

NPI: 1457276040
Provider Name (Legal Business Name): KATELYN ANN KELLEHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3399 NORTH RD
POUGHKEEPSIE NY
12601-1350
US

IV. Provider business mailing address

3399 NORTH RD
POUGHKEEPSIE NY
12601-1350
US

V. Phone/Fax

Practice location:
  • Phone: 845-575-3308
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number036099-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: