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Conrad John Kelleher
Private Vehicle in St John, Indiana
NPI 1225252851

Conrad John Kelleher is a Private Vehicle based in St John, IN. Conrad John Kelleher practices in St John, IN. The NPI Number for Conrad John Kelleher is 1225252851 and holds a License No. (Indiana).

The current practice location address for Conrad John Kelleher is 9471 Clarmonte Drive, St John, IN and can be reached out via phone at 219-365-7676.

Location: 9471 Clarmonte Drive, St John, IN, 46373-9699
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225252851
Provider Name
Conrad John Kelleher
Credential
Provider Entity Type
Individual
Gender
Male
Address
9471 Clarmonte Drive, St John, IN, 46373-9699
Phone Number
219-365-7676
Fax Number
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9471 Clarmonte Drive
City
St John
State
Indiana
Zip
46373-9699
Phone Number
219-365-7676
Fax Number
person
Provider Business Mailing Address Details
Address
9471 Clarmonte Drive
City
St John
State
Indiana
Zip
46373-9699
Phone Number
219-365-7676
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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