Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eric William Kelleher, PA-C

Individual provider Medical Physician Assistant · NPI 1366626079

Eric William Kelleher, PA-C is a Medical Physician Assistant in Fort Collins, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone: (303) 306-7783
Fax: (303) 306-7753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Lincoln St Ste 101, Fort Morgan, CO 80701-3290 — (970) 867-3391

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0003079 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0003079 (CO)

Record details

NPI number1366626079
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 18, 2007
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

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