Individual
MR. KENNETH M NABORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 W THIRD ST, WINSLOW, AZ 86047-2076
(928) 853-4112
Mailing address
440 N WASHINGTON AVE, PRESCOTT, AZ 86301-2642
(928) 443-1991
(928) 771-2352
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2611059
AZ
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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