KEWA PUEBLO HEALTH CORPORATION
Clinic/Center - Adolescent and Children Mental Health
Active
Organization
NPI: 1558648709
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinic/Center - Adolescent and Children Mental Health | 261QM0855X | Yes | - |
Frequently Asked Questions
NPI 1558648709 is the National Provider Identifier for KEWA PUEBLO HEALTH CORPORATION, a Clinic/Center - Adolescent and Children Mental Health provider located in Santo Domingo, NM. This NPI was enumerated on November 15, 2011.
Quick Facts
- NPI
- 1558648709
- Type
- Organization
- Enumerated
- Nov 15, 2011
- Last Updated
- Nov 15, 2011
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DR. JIMMIE CHARLIE, M.D.
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ANDREA HEETER, PA-C, ATC
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ROGER LEONARD, RN
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