Kelby H Stephens MPT

NPI 1083633853 - Physical Therapist - 225100000X

NPI Details
NPI 1083633853
Gender Male
Enumeration Date 07/19/2006
Last Updated 04/27/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
911 B NORTH CALIFORNIA
SOCORRO NM, 87801, US
Phone (505) 838-1000
Fax (505) 838-2000
Business Location
911 B NORTH CALIFORNIA
SOCORRO NM, 87801, US
Phone (575) 838-1000
Fax (575) 838-2000
Toxanomy
Taxonomy Code 225100000X
License State New Mexico
License Number 3059
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According to our database, Kelby H Stephens MPT NPI is 1083633853, taxonomy code is 225100000X and license number is 3059, license state is located at New Mexico. Kelby H Stephens MPT physically located at 911 B North California, Socorro NM, 87801. NPI Number Kelby H Stephens MPT has the Individual type.

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1083633853 NPI number is provided on an as is basis without warranty of any kind. 1083633853 is maintained by the National Plan & Provider Enumeration System. The contents of Kelby H Stephens MPT are for informational purposes only.