Allison Nicole Kelleher, DMD is a
Student In An Organized Health Care Education/training Program based in Seattle, Washington. Allison Nicole Kelleher is licensed to practice in Washington (license number DEUW.DR.61141247) and her current practice location is
747 Broadway, Seattle, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 386-6000.
NPI number for Allison Nicole Kelleher is 1417532011 and her current mailing address is 747 Broadway, Seattle, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417532011.
Healthcare Provider's Profile
| Full Name | Allison Nicole Kelleher |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 747 Broadway, Seattle, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417532011
- Provider Enumeration Date: 03/15/2021
- Last Update Date: 03/31/2021
Medical Identifiers
Medical identifiers for Allison Nicole Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417532011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DEUW.DR.61141247 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | DEUW.DR.61141247 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Allison Nicole Kelleher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Allison Nicole Kelleher, DMD
747 Broadway,
Seattle, WA 98122-4307
Ph: (206) 386-6000 | Allison Nicole Kelleher, DMD
747 Broadway,
Seattle, WA 98122-4307
Ph: (206) 386-6000 |
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