Most Relevant Information
Provider Data
| NPI Number: | 1003178328 |
| Provider Name: | MICHELLE ANNE KEHOE MS.ED, ED.M. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2012 |
| Last Updated: | 06/13/2012 |
Provider Practice Location
157 COUNTRYSIDE LN
GRAND ISLAND
NY
140722517
Practice Location Phone/Fax
| Phone: | 7168301506 |
| Fax: |
Provider Mailing Location
157 COUNTRYSIDE LN
GRAND ISLAND
NY
140722517
Provider Mailing Phone/Fax
| Phone: | 7168301506 |
| Fax: |