Individual
KELLIE CHIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3822
(800) 818-4747
(410) 354-0186
Mailing address
PO BOX 787512, PHILADELPHIA, PA 19178-7512
(410) 354-0186
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA11474600
NJ
2085R0202X
Diagnostic Radiology Physician
309561
NY
2085R0202X
Diagnostic Radiology Physician
C1-0025071
DE
2085R0202X
Diagnostic Radiology Physician
Primary
MD477605
PA
2085R0202X
Diagnostic Radiology Physician
ME161054
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2016
Last updated
02/17/2024
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