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NPI Code Detail

MEDICARE: MR. FRANCIS JAMES KELLEHER SR. P.A.- C.

MEDICARE:  MR. FRANCIS JAMES KELLEHER SR. P.A.- C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant0110000093VA

General Provider Information

NPI Number : 1902857402
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FRANCIS JAMES KELLEHER SR. P.A.- C.
Provider Business Mailing Address
First Line : 5000 COX RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-9263
Country : US
Telephone Number : 804-968-5700
Fax Number :
Provider Business Practice Location Address
First Line : 3370 PUMP RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-1130
Country : US
Telephone Number : 804-360-8061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 02/15/2022

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Directions to “ MR. FRANCIS JAMES KELLEHER SR. P.A.- C.” Practice Location

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