DR. KEVIN J KELLEHER (MD) – Family Medicine Physician, NPI 1689674202

DR. KEVIN J KELLEHER (MD) is a healthcare provider. based in Reston, Virginia. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 0101054571 (VA). The NPI Number for DR. KEVIN J KELLEHER (MD) is 1689674202

Main info

Male
Name
DR. KEVIN J KELLEHER (MD)
NPI
1689674202
Phone
(703) 464-0686
Address
12040 S LAKES DR
Enumeration Date
26 July 2005
Last Update Date
10 September 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KEVIN J KELLEHER (MD)

  • 12040, South Lakes Drive, Reston, Fairfax (city), Virginia, 20191, United States

    STE 207

    RESTON, VA 201911246

    Phone: (703) 464-0686

    Fax: (703) 464-0698

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20191)

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Reviews

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Frequently asked questions

What is the standard ID for DR. KEVIN J KELLEHER (MD) in the U.S.?
In the U.S., DR. KEVIN J KELLEHER (MD) is identified by NPI 1689674202.
Is DR. KEVIN J KELLEHER (MD)'s NPI status active today?
Active status means DR. KEVIN J KELLEHER (MD)'s NPI record is not deactivated in the public file.
What services align with DR. KEVIN J KELLEHER (MD)'s listing?
DR. KEVIN J KELLEHER (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KEVIN J KELLEHER (MD) tied to Reston, Virginia?
If you are local to Reston, Virginia, DR. KEVIN J KELLEHER (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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