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Mary Kelleher, M.D.

Family Medicine in Reading, PA. Individual provider (NPI-1).

NPI number1104875491
StatusActive
Last updated in NPPESOct 19, 2012

Details

NPI
1104875491
Entity type
Individual (NPI-1)
Name
Mary Kelleher
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 6, 2006
Last updated
Oct 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD419172PAYes

Practice location

838 Penn St
Reading, PA 19602-1108

Phone 610-988-4838

Mailing address

838 Penn St
Reading, PA 19602-1108

Phone 610-988-4838 · Fax 610-288-4515

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