Individual
KELLY JOE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
6901 AVENUE K, 109, PLANO, TX 75074
(214) 620-4549
Mailing address
PO BOX 262449, PLANO, TX 75026-2449
(214) 620-4549
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
02/26/2020
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