Organization
BABBITT CLINIC, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A BABBITT FNP (OWNER/NURSE PRACTITIONER)
(928) 783-0600
Entity
Organization
Contact information
Practice address
411 W 8TH ST, YUMA, AZ 85364-2957
(928) 783-0600
(928) 783-3091
Mailing address
PO BOX 4878, YUMA, AZ 85366-4878
(928) 783-0600
(928) 783-3091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1473
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
734336
—
AZ
Enumeration date
09/27/2007
Last updated
09/27/2007
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