National Provider Identifier

Mike Keleher, RNC, NNP

Mike Keleher, RNC, NNP is listed in the NPPES registry with a primary specialty of Specialist in Williamsville, NY and a listed phone number of (716) 878-7662.

NPI 1174590715Williamsville, NYSpecialist

Profile Overview

NPI
1174590715
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
March 02, 2006
Last Updated
July 08, 2007

Practice Location

  • 1540 Maple RD
  • Williamsville, NY 14221-3647

Phone: (716) 878-7662

Mailing Address

  • 908 Niagara Falls Blvd
  • Suite 208
  • North Tonawanda, NY 14120-2019

Specialties

  • Specialist (174400000X)
Full Record
NPI
1174590715
Entity Type
Individual
Last Name
Keleher
First Name
Mike
Credential
RNC, NNP
Mailing Street Address
908 Niagara Falls Blvd
Mailing Address Line 2
Suite 208
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2019
Mailing Country
US
Mailing Phone
(716) 692-3302
Mailing Fax
(716) 692-4342
Practice Street Address
1540 Maple RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-3647
Practice Country
US
Practice Phone
(716) 878-7662
Enumeration Date
March 02, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
02023009 (NY)