Provider Type Icon

KRISTINE KELLIHER MD NPI 1689872764


NPI Information

NPI: 1689872764
Provider Name: KRISTINE KELLIHER, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Organization: HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC

PECOS Registration: Yes

Address:
85 SEYMOUR ST
SUITE 415
HARTFORD, CT
ZIP 06106
Phone: (860) 246-2071
Get Directions

Kristine Kelliher, MD is a surgery in Hartford, CT with 20 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Kristine Kelliher, MD NPI is 1689872764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2004

The provider's business location address is:

85 SEYMOUR ST
SUITE 415
HARTFORD, CT
ZIP 06106-501
Phone: (860) 246-2071
Fax: (860) 677-5029

The NPI 1689872764 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 6/21/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0102XSurgerySurgical Critical Care48521CONNECTICUTNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3208600000XSurgery48521CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1061406459OTHERCONNECTICUTCOMMUNITY HEALTH NETWORK
2061406459OTHERCONNECTICUTTRICARE
31689872764OTHERCONNECTICUTANTHEM BCBS
4061406459OTHERCONNECTICUTCORVEL
5061406459OTHERCONNECTICUTWELLCARE
6061406459OTHERCONNECTICUTPRIVATE HEALTHCARE SYSTEMS
7061406459OTHERCONNECTICUTMULTIPLAN
8061406459OTHERCONNECTICUTUNITED HEALTHCARE
9061406459OTHERCONNECTICUTHEALTH NEW ENGLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.