# MS. DEBRA KELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1376746909
- **Gender:** F
- **Credential:** RTR.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3402X | Radiography Radiologic Technologist | 18328 | OR | Yes |
| 2471C3402X | Radiography Radiologic Technologist | R0004808 | MD | — |
| 2471C3402X | Radiography Radiologic Technologist | RRT 3486 | NM | — |

## Other

- **Enumeration date:** 06/10/2007
- **Last updated:** 07/08/2007