Individual
JUDITH LYNN KALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
Z H S 4A, ZUNI, NM 87327-0432
(417) 231-5780
Mailing address
PO BOX 432, ZUNI, NM 87327-0432
(417) 231-5780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2428
NM
174400000X
Specialist
—
MO
174400000X
Specialist
—
NJ
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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