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Terri Kelley
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Joplin, Missouri
NPI 1437202819

Terri Kelley is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Joplin, MO. Terri Kelley practices in Joplin, MO. The NPI Number for Terri Kelley is 1437202819 and holds a License No. 309 (Missouri).

The current practice location address for Terri Kelley is 1801 Katherine Ave, Joplin, MO and can be reached out via phone at 417-626-9729 and via fax at 471-206-4113.

Location: 1801 Katherine Ave, Joplin, MO, 64803-2966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437202819
Provider Name
Terri Kelley
Credential
Provider Entity Type
Organization
Address
1801 Katherine Ave, Joplin, MO, 64803-2966
Phone Number
417-626-9729
Fax Number
471-206-4113
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200021670A 05 OK
719136509 05 MO
200253180A 05 KS
institution
Provider Business Practice Location Address Details
Address
1801 Katherine Ave
City
Joplin
State
Missouri
Zip
64801-5888
Phone Number
417-626-9729
Fax Number
471-206-4113
person
Provider Business Mailing Address Details
Address
1801 Katherine Ave
City
Joplin
State
Missouri
Zip
64801-5888
Phone Number
417-626-9729
Fax Number
471-206-4113
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
309 (Missouri)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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