Individual
STEPHEN KELBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.A.
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
68.000011
OH
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
R8859468
OH
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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