Individual provider · Type 1 NPI

Kristina Kahle Jacobsen, R.T.(R)

Radiologic Technologist · Phoenix, AZ

NPI number 1134624133 Active

Practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

232 W 9th Pl N
Mesa, AZ 85201-4261

Specialties and licenses

TaxonomyCodeLicense
Radiologic Technologist Primary 247100000X564028 (AZ)

Radiologic Technologist: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

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About NPI 1134624133

Kristina Kahle Jacobsen, R.T.(R)'s National Provider Identifier is 1134624133, issued on Mar 29, 2018. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 29, 2018.