Individual
PAULA MAE KELSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R
Contact information
Practice address
1699 S 14TH ST, STE 16, FERNANDINA BEACH, FL 32034-1963
(904) 491-7700
(904) 491-7701
Mailing address
1548 GOLF FOREST DR, JACKSONVILLE, FL 32208-6626
(904) 766-8956
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
63980
FL
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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