Individual provider · NPI-1

Keenan Michael Tomlinson, R.T.T.

Radiologic Technologist, Radiation Therapy · Bronx, NY

NPI number1700196227
StatusActive
Last updated in NPPESOct 18, 2010

Details

NPI
1700196227
Entity type
Individual (NPI-1)
Name
Keenan Michael Tomlinson
Credential
R.T.T.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 18, 2010
Last updated
Oct 18, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471R0002X Radiologic Technologist, Radiation Therapy870230NYYes

Practice location

130 W Kingsbridge Rd
Bronx, NY 10468-3904

Phone 718-741-4226

Mailing address

700 E 226th St Apt 2
Bronx, NY 10466-4202

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