Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin Charles Kelleher, MD

Individual provider Family Medicine Physician · NPI 1619049392

Dr. Kevin Charles Kelleher, MD is a Family Practice in Roanoke, Virginia. Graduated from Medical College of Ohio in 1981, 45 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
45
Trained at
Medical College of Ohio
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4901 Brambleton Ave
Roanoke, VA 24018-4149
Phone: (540) 777-4000
Fax: (540) 777-4007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101034582 (VA)

Record details

NPI number1619049392
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESOctober 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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