Individual
KELBY JOSEPH SAGE DURNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
1020 JABARA AVENUE, SEYMOUR JOHNSON AFB, NC 27534
(919) 722-1526
Mailing address
1020 JABARA AVENUE, SEYMOUR JOHNSON AFB, NC 27534
(919) 722-1526
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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