Individual
MIKE MCKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43839 15TH ST W, LANCASTER, CA 93534-4756
(661) 726-3219
(661) 951-3192
Mailing address
43839 15TH ST W, LANCASTER, CA 93534-4756
(661) 726-3219
(661) 951-3192
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
13334
CA
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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