Kelley, Harlan Hunt
Kelley, Harlan Hunt is an individual health care provider with primary practice located at Us Highway 491 North , Shiprock NM 87420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Kelley, Harlan Hunt can be contacted via phone (505) 368-6401.Contact Information
Primary practice address
Us Highway 491 North
Shiprock NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6401
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 37343 | Arizona |
Profile Details
NPI number | 1508973694 |
---|---|
LBN Legal business name | Kelley, Harlan Hunt |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2006 |
Last updated | Jun 13th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508973694 | NPPES |
New Mexico | MEDICAID | 47528257 | |
New Mexico | MEDICAID | 08234817 | |
New Mexico | MEDICAID | 282639 |
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