Individual
KENNARD STRADLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3451 N BUTLER AVE, FARMINGTON, NM 87401-2357
(505) 566-1915
(505) 566-1918
Mailing address
3451 N BUTLER AVE, FARMINGTON, NM 87401-2357
(505) 566-1915
(505) 566-1918
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
91319
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016645
—
NM
Enumeration date
02/24/2006
Last updated
12/12/2007
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