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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508973694 NPPES
New Mexico MEDICAID 47528257
New Mexico MEDICAID 08234817
New Mexico MEDICAID 282639

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