Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLEN DEAN
Active Sole ProprietorKELLEN DEAN is a Community/Behavioral Health healthcare provider located in BLOOMFIELD, New Mexico. NPI 1962010199 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · BLOOMFIELD, NM
Registration Details
- NPI Number
- 1962010199
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2020 (6.118581361709 yrs)
- Last Updated
- Jan 19, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 E BROADWAY AVEBLOOMFIELD, NM, 874136235Browse NM providers · Browse ZIP 87413
- Phone
- 5053308220
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.