Action-Occmed-M.m.i., P.c.

NPI #1386823227 in Las Cruces, New Mexico

Provider Information

NPI Number
1386823227
Entity Type
Organization
Organization Name
Action-Occmed-M.m.i., P.c.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 28, 2007
Last Updated
Oct 28, 2007

Practice Location

Address
530 N TELSHOR BLVD
Address 2
SUITE B
ZIP Code
88011-8243
Phone
(575) 556-1011

Authorized Official

Name
DR. EDWIN LEE KENNEDY, M.D.
Title
PRESIDENT
Phone
(575) 556-1011

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Occupational MedicineOccupational Medicine
Clinic/Center - Primary CarePrimary Care

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