Individual provider · Type 1 NPI
Conrad John Kelleher
Private Vehicle · St. John, IN
NPI number
1225252851
Active
Practice location
9471 Clarmonte Drive
St. John, IN 46373-9699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1225252851
Conrad John Kelleher's National Provider Identifier is 1225252851, issued on Apr 13, 2007. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in St. John, IN. The record was last updated on Jul 8, 2007.