Individual
KELSEY STARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 512-3182
(541) 512-1026
Mailing address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 512-3182
(541) 512-1026
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
912285
OR
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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