Mrs Karen Ruth Kelleher, LVN is a
Licensed Vocational Nurse based in Lotus, California. Mrs Karen Ruth Kelleher is licensed to practice in California (license number VN121814) and her current practice location is
4620 Lucky Lane, Lotus, California. She can be reached at her office (for appointments etc.) via phone at
(530) 626-1255.
NPI number for Mrs Karen Ruth Kelleher is 1548451685 and her current mailing address is Po Box 564, 4620 Lucky Lane, Lotus, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548451685.
Provider's Profile
| Full Name | Mrs Karen Ruth Kelleher |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 4620 Lucky Lane, Lotus, California |
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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: 1548451685
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 08/05/2007
Medical Identifiers
Medical identifiers for Mrs Karen Ruth Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548451685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | VN121814 (California) | 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. Mrs Karen Ruth 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 |
|---|
Mrs Karen Ruth Kelleher, LVN
Po Box 564, 4620 Lucky Lane,
Lotus, CA 95651-0564
Ph: (530) 626-1255 | Mrs Karen Ruth Kelleher, LVN
4620 Lucky Lane,
Lotus, CA 95651-0564
Ph: (530) 626-1255 |
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