Individual
KELBY H STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
911 B NORTH CALIFORNIA, SOCORRO, NM 87801
(505) 838-1000
(505) 838-2000
Mailing address
911 B NORTH CALIFORNIA, SOCORRO, NM 87801
(575) 838-1000
(575) 838-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3059
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65173511
—
NM
Enumeration date
07/19/2006
Last updated
04/27/2010
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