Individual
ADAM ROSARIO KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2604 S MAIN RD, LEBANON, OR 97355-2338
(541) 570-1728
(541) 405-4020
Mailing address
2604 S MAIN RD, LEBANON, OR 97355-2338
(541) 570-1728
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
619337-93
OR
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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