Organization
CLOVIS VA OUTPATIENT CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN KOLB KINCAID PA-C (PHYSICIAN'S ASSISTANT)
(505) 763-4335
Entity
Organization
Contact information
Practice address
921 E LLANO ESTACADO BLVD, CLOVIS, NM 88101-3807
(505) 763-4335
(505) 763-4296
Mailing address
921 E LLANO ESTACADO BLVD, CLOVIS, NM 88101-3807
(505) 763-4335
(505) 763-4296
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2006
Last updated
08/22/2020
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