Individual
ERIC FORD KEBKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ABPP
Contact information
Practice address
7309 BALMER ST BLDG 545, HILL AFB, UT 84056-5012
(801) 777-7909
Mailing address
7321 BALMER ST BLDG 570, HILL AFB, UT 84056-5012
(801) 777-7909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 60420592
WA
Other
Enumeration date
03/02/2011
Last updated
01/17/2024
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