Allison Nicole Kelleher, DMD
Student in an Organized Health Care Education/Training Program in Seattle, WA. Individual provider (NPI-1).
NPI number1417532011
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1417532011
- Entity type
- Individual (NPI-1)
- Name
- Allison Nicole Kelleher
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2021
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | DEUW.DR.61141247 | WA | Yes |
| 1223G0001X | Dentist, General Practice | DEUW.DR.61141247 | WA |
Practice location
747 BroadwaySeattle, WA 98122-4307
Phone 206-386-6000
Mailing address
747 BroadwaySeattle, WA 98122-4307
Phone 206-386-6000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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