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Mr. Michael Jason Kelley
Radiography Radiologic Technologist in Oak Park, California
NPI 1912174731

Michael Jason Kelley is a Radiography Radiologic Technologist based in Oak Park, CA and is specialized in Radiography. Michael Jason Kelley practices in Oak Park, CA. The NPI Number for Michael Jason Kelley is 1912174731 and holds a License No. (California).

The current practice location address for Michael Jason Kelley is 1209 Heatherview Dr, Oak Park, CA and can be reached out via phone at 818-879-8037.

Location: 1209 Heatherview Dr, Oak Park, CA, 91377-3914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912174731
Provider Name
Michael Jason Kelley
Credential
Provider Entity Type
Individual
Gender
Male
Address
1209 Heatherview Dr, Oak Park, CA, 91377-3914
Phone Number
818-879-8037
Fax Number
Provider Enumeration Date
05/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1209 Heatherview Dr
City
Oak Park
State
California
Zip
91377-3914
Phone Number
818-879-8037
Fax Number
person
Provider Business Mailing Address Details
Address
1209 Heatherview Dr
City
Oak Park
State
California
Zip
91377-3914
Phone Number
818-879-8037
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
2471C3402X
License No.
()
Definition
Definition to come...
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