Stradling, Kennard
Stradling, Kennard is an individual health care provider with primary practice located at 3451 N Butler Ave , Farmington NM 87401-2357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stradling, Kennard can be contacted via phone (505) 566-1915.Contact Information
Primary practice address
3451 N Butler Ave
Farmington NM 87401-2357
Phone: (505) 566-1915
Fax: (505) 566-1918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 91319 | New Mexico |
Profile Details
| NPI number | 1548236953 |
|---|---|
| LBN Legal business name | Stradling, Kennard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Dec 12th, 2007 - 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 | 1548236953 | NPPES |
| New Mexico | MEDICAID | 00016645 |
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