Active NPIIndividual provider

Dr. Paul C Kelleher, MD

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine in Mystic, Connecticut

NPI Number1710957261
Practice location
169 High Meadow Ln, Mystic, CT 06355-1651
Fax
—
Last updated
July 13, 2026

Paul C Kelleher is a Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine based in Mystic, CT. Paul C Kelleher practices in Mystic, CT and has the professional credentials of MD. The NPI Number for Paul C Kelleher is 1710957261 and holds a License No. me58660 (FL). The current practice location address for Paul C Kelleher is 169 High Meadow Ln, Mystic, CT 06355-1651 and can be reached out via phone at 860-572-0441.

Provider Profile Details

NPI Number
1710957261
Provider Name
Paul C Kelleher
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
169 High Meadow Ln, Mystic, CT 06355-1651
Phone Number
860-572-0441
Sole Proprietor
No
Provider Enumeration Date
January 26, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
169 High Meadow Ln
Mystic, CT 06355-1651
City
Mystic
Zip
06355-1651
Phone Number
860-572-0441
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
169 High Meadow Ln
Mystic, CT 06355-1651
City
Mystic
State
CT
Zip
06355-1651

License Information

License Number
me58660
License State
FL

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Paul C Kelleher, MD?

The NPI number of Dr. Paul C Kelleher, MD is 1710957261. It was assigned on January 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Paul C Kelleher, MD?

Dr. Paul C Kelleher, MD is registered under the primary taxonomy Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (code 2083P0500X), licensed in FL under license number me58660.

Where does Dr. Paul C Kelleher, MD practice?

The practice location is 169 High Meadow Ln, Mystic, CT 06355-1651. The office can be reached at 860-572-0441 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710957261 directly on the NPPES registry website.

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