| Doctor Name: | SUSAN M KELLEHER |
| NPI Number: | 1306931019 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | CNPP37485 |
| Business Practice Address: | 133 Littleton Rd Suite 101 Westford, MA - 018863115 |
| Business Phone Number: | 9785770437 |
| Business Fax Number: | 9786924276 |
| Mailing Address: | 133 Littleton Rd, Suite 101 WESTFORD |
| State: | MA |
| Postal Code: | 018863115 |
| Phone Number: | 9785770437 |
| Fax Number: | 9786924276 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 08/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | CNPP37485 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | RI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |