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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093127235

Dr. Kevin Michael Kelleher, MD is an Emergency Medicine in Medford, Oregon. Graduated from Tufts University School of Medicine in 2014, 12 years ago. Practices with Asante, a 135-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Trained at
Tufts University School of Medicine
Licensed in
OR
In the registry since
2014
Specialties on file
2
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

2825 E Barnett Rd
Medford, OR 97504-8332
Phone: (541) 789-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD181698 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093127235
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 22, 2014
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Asante — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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