Stanley, Keith Kelly

Stanley, Keith Kelly is an individual health care provider with primary practice located at 1268 E 32Nd St , Silver City NM 88061-7229. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Stanley, Keith Kelly can be contacted via phone (575) 534-1919.

Contact Information

Primary practice address
1268 E 32Nd St Silver City NM 88061-7229
Phone: (575) 534-1919
Fax: (575) 534-0135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2496 New Mexico

Profile Details

NPI number 1285871244
LBN Legal business name Stanley, Keith Kelly
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2009
Last updated Jan 13th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285871244 NPPES
New Mexico Other 2496 STATE LICENSE

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