Bradley Keffer

NPI 1245575406 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1245575406
Gender Male
Enumeration Date 11/29/2012
Last Updated 11/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1400 N SILVER ST
T OR C NM, 87901-1957, US
Phone (575) 894-7855
Fax
Business Location
1868 EL SEGUNDO TRL
LAS CRUCES NM, 88011-4032, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New Mexico
License Number 1582
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According to our database, Bradley Keffer NPI is 1245575406, taxonomy code is 235Z00000X and license number is 1582, license state is located at New Mexico. Bradley Keffer physically located at 1400 N Silver St, T Or C NM, 87901-1957. NPI Number Bradley Keffer has the Individual type.

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1245575406 NPI number is provided on an as is basis without warranty of any kind. 1245575406 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Keffer are for informational purposes only.