Organization
CLARION TELEHEALTH NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J KIMBALL (OWNER)
(801) 473-8848
Entity
Organization
Contact information
Practice address
4611 RESEARCH PARK CIR STE B227, LAS CRUCES, NM 88001-5948
(801) 473-8848
(610) 713-5312
Mailing address
4611 RESEARCH PARK CIR STE B227, LAS CRUCES, NM 88001-5948
(801) 473-8848
(610) 713-5312
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5206472
NM
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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