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

Dr. Kevin J Kelleher, MD

Individual provider Family Medicine Physician · NPI 1689674202

Dr. Kevin J Kelleher, MD is a Family Medicine Physician in Reston, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

12040 S Lakes Dr Ste 207
Reston, VA 20191-1246
Phone: (703) 464-0686
Fax: (703) 464-0698
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 0101054571 (VA)

Record details

NPI number1689674202
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESSeptember 10, 2014

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