Linda Joan Kelleher, CNM is a
Advanced Practice Midwife based in Glen Carbon, Illinois. Linda Joan Kelleher is licensed to practice in Missouri (license number 2003001303) and her current practice location is
13 Ginger Lake Dr W, Glen Carbon, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 610-5977.
NPI number for Linda Joan Kelleher is 1538431762 and her current mailing address is 13 Ginger Lake Dr W, Glen Carbon, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538431762.
Provider's Profile
Full Name | Linda Joan Kelleher |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 13 Ginger Lake Dr W, Glen Carbon, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538431762
- Provider Enumeration Date: 02/03/2012
- Last Update Date: 02/03/2012
Medical Identifiers
Medical identifiers for Linda Joan Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538431762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 2003001303 (Missouri) | 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. Linda Joan 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 |
Linda Joan Kelleher, CNM 13 Ginger Lake Dr W, Glen Carbon, IL 62034-3304 Ph: (618) 610-5977 | Linda Joan Kelleher, CNM 13 Ginger Lake Dr W, Glen Carbon, IL 62034-3304 Ph: (618) 610-5977 |
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