NPI 1467218305
Paul Timothy Staley
Practice location
- Address
- 1521 Gull Rd, Kalamazoo, MI 49048-1640
- Phone
- (269) 226-7240
- Mailing address
- 1234 Odell Farm Ln, Vicksburg, MI 49097-7772
Registered specialties
Medical Technologist
Primary
Registry record
- NPI
- 1467218305
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Feb 2024
- Record last updated
- 27 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.