Individual
DR. WARREN DOUGLAS MCKELVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
313 W. COUNTRY CLUB RD, ROSWELL, NM 88201
(575) 625-1371
(575) 625-1490
Mailing address
313 W. COUNTRY CLUB RD, ROSWELL, NM 88201
(575) 625-1371
(575) 625-1490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77-217
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1875
—
NM
Enumeration date
05/19/2006
Last updated
10/29/2007
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