Kim Kellow

Radiologic technology

Davenport, United States

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Full name

Kim Kellow

Job Title

Radiologic Technology

Location

Davenport, FL, USA

LIC ID

110114

Current License Expiration Date

30/09/2024

Original Date

25/05/2021

Professional Rank Code

CRT

Effective Date

25/05/2021

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

POLK

Practice Location Address Line 1

1400 Clubman Dr

Practice Location Address City

DAVENPORT

Practice Location Address State

Practice Location Address Zipcode

33896

Mode Code

General Radiographer

Prescribing Indicator

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