Kelly, Debra

Kelly, Debra is an sole proprietor health care provider with primary practice located at 665 Winter St Se , Salem OR 97301-3919. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as her primary health care specialty. Kelly, Debra can be contacted via phone (503) 561-5707.

Contact Information

Primary practice address
665 Winter St Se Salem OR 97301-3919
Phone: (503) 561-5707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X R0004808 Maryland
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X 18328 Oregon
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X RRT 3486 New Mexico

Profile Details

NPI number 1376746909
LBN Legal business name Kelly, Debra
Credentials RTR.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2007
Last updated Jul 8th, 2007 - about 17 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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