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Individual

MR. KEVIN HAROLD VANTREES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPA, R.T. (R)(MR)(CT

Contact information

Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3552
Mailing address
5001 RABBIT CROSS CV, ARLINGTON, TN 38002-7905
(901) 373-1598

Taxonomy

Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
05F1175
247100000X
Radiologic Technologist
234273
2471C3401X
Computed Tomography Radiologic Technologist
234273
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
234273

Other

Enumeration date
10/21/2008
Last updated
10/21/2008
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