Individual
BRADLEY KEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N SILVER ST, T OR C, NM 87901-1957
(575) 894-7855
Mailing address
1868 EL SEGUNDO TRL, LAS CRUCES, NM 88011-4032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1582
NM
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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