Individual
KRISTIE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T.
Contact information
Practice address
3820 POINTE PKWY, 3820 POINTE PARKWAY AT FOLSOM DRIVE, ONE FOLSOM, BEAUMONT, TX 77706-2000
(409) 767-8221
Mailing address
3820 POINTE PKWY, 3820 POINTE PARKWAY AT FOLSOM DRIVE, ONE FOLSOM, BEAUMONT, TX 77706-2000
(409) 767-8221
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
15935
TX
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
225579
TX
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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