Individual
HARLAN HUNT KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
US HIGHWAY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6401
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
37343
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08234817
—
CO
05
—
282639
—
AZ
05
—
47528257
—
NM
Enumeration date
08/24/2006
Last updated
06/13/2008
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