KENNETH BRADLEY CHIPMAN

FARMINGTON, NM
NPI1497593693
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NM  80060)
Enumeration Date2024-07-20
Last Update Date2024-07-20
Business Address
KENNETH BRADLEY CHIPMAN CNP
4801 N BUTLER AVE
FARMINGTON, NM 87401-6002
Phone number: 505-327-0002
Mailing Address
KENNETH BRADLEY CHIPMAN CNP
3500 ALTA VISTA DR
FARMINGTON, NM 87402-8810
Phone number: 505-573-2723
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