| Kennard Stradling, MD | |
|
3451 N Butler Ave, Farmington, NM 87401-2357 | |
| (505) 566-1915 | |
| (505) 566-1918 |
| Full Name | Kennard Stradling |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3451 N Butler Ave, Farmington, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548236953 | NPI | - | NPPES |
| 00016645 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 91319 (New Mexico) | Primary |
| Entity Name | Reliance Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497851208 PECOS PAC ID: 9537132543 Enrollment ID: O20040818000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Kennard Stradling, MD 3451 N Butler Ave, Farmington, NM 87401-2357 Ph: (505) 566-1915 | Kennard Stradling, MD 3451 N Butler Ave, Farmington, NM 87401-2357 Ph: (505) 566-1915 |
Brad J Campbell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2001 Fax: 505-609-2259 | |
Christopher A Gutierrez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Angela Bell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Catherine A Ambrose, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Eric M Ketcham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Dr. Brian A. Rike, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2258 | |
Dr. Virginia Elizabeth Harvey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 |