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Dr. Kevin J Kelleher, MD
Family Medicine Physician in Reston, Virginia
NPI 1689674202

Kevin J Kelleher is a Family Medicine Physician based in Reston, VA. Kevin J Kelleher practices in Reston, VA and has the professional credentials of MD. The NPI Number for Kevin J Kelleher is 1689674202 and holds a License No. 0101054571 (Virginia).

The current practice location address for Kevin J Kelleher is 12040 S Lakes Dr, Reston, VA and can be reached out via phone at 703-464-0686 and via fax at 703-464-0698.

Location: 12040 S Lakes Dr, Reston, VA, 20191-1246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689674202
Provider Name
Kevin J Kelleher
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12040 S Lakes Dr, Reston, VA, 20191-1246
Phone Number
703-464-0686
Fax Number
703-464-0698
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G00463 01 VA MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
12040 S Lakes Dr
City
Reston
State
Virginia
Zip
20191-1246
Phone Number
703-464-0686
Fax Number
703-464-0698
person
Provider Business Mailing Address Details
Address
12040 S Lakes Dr
City
Reston
State
Virginia
Zip
20191-1246
Phone Number
703-464-0686
Fax Number
703-464-0698
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0101054571 (Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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