NPI 1225252851

Conrad John Kelleher

Practitioner Private Vehicle St John, IN

Practice location

Address: 9471 Clarmonte Drive, St John, IN 46373-9699
Phone: (219) 365-7676

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1225252851
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.