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J.MICHAEL KERLEY M.D. PLLC NPI 1356620843


NPI Information

NPI: 1356620843
Provider Name: J.MICHAEL KERLEY, M.D., PLLC

Doing Business As: PHOENIX ONCOLOGY OF LUBBOCK

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
424 N UTICA AVE
LUBBOCK, TX
ZIP 79416
Phone: (806) 776-8200
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J.MICHAEL KERLEY, M.D., PLLC is a radiation oncology radiology in Lubbock, TX. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. J.MICHAEL KERLEY, M.D., PLLC NPI is 1356620843. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Phoenix Oncology Of Lubbock.

The provider's business location address is:

424 N UTICA AVE
LUBBOCK, TX
ZIP 79416-035
Phone: (806) 776-8200
Fax: (806) 771-4177

The provider's authorized official is J Michael Kerley .
The authorized official title is Owner and has the following contact phone number (806) 776-8200.

The enumeration date for this NPI number is 8/15/2011 and was last updated on 2/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyG3515TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TXB141527MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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