Dean, Kellen
Dean, Kellen is an sole proprietor health care provider with primary practice located at 101 E Broadway Ave , Bloomfield NM 87413-6235. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Dean, Kellen can be contacted via phone (505) 330-8220.Contact Information
Primary practice address
101 E Broadway Ave
Bloomfield NM 87413-6235
Phone: (505) 330-8220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1962010199 |
|---|---|
| LBN Legal business name | Dean, Kellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2020 |
| Last updated | Jan 19th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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