NPI 1649908112

Kelvin Antonio de La Cruz Chaljub, CSFA

Practitioner Surgical Technologist New Albany, IN

Practice location

Address: 1850 State Street, New Albany, IN 47150
Phone: (812) 944-7701
Mailing address: 2017 Cove Point Rd, Port Orange, FL 32128-3025

Registered specialties (2)

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 16-724 (FL)

Other Specialist/Technologist, Other providers in Indiana →

Technician/Technologist

Eye and Vision Services Providers Taxonomy 156F00000X Licence 16-724

Other Technician/Technologist providers in Indiana →

Registry record

NPI: 1649908112
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2022
Record last updated: 11 Aug 2022

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.