Kelley, Michael Jason

Kelley, Michael Jason is an individual health care provider with primary practice located at 1209 Heatherview Dr , Oak Park CA 91377-3914. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Kelley, Michael Jason can be contacted via phone (818) 879-8037.

Contact Information

Primary practice address
1209 Heatherview Dr Oak Park CA 91377-3914
Phone: (818) 879-8037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X

Profile Details

NPI number 1912174731
LBN Legal business name Kelley, Michael Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2008
Last updated Jul 3rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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