Most Relevant Information
Provider Data
| NPI Number: | 1003388190 |
| Provider Name: | KELLY VAN PFEIFFER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 54573 |
Most Important Dates
| Enumeration Date: | 12/30/2018 |
| Last Updated: | 04/27/2020 |
Provider Practice Location
3900 N LOVINGTON HWY STE 550
HOBBS
NM
882401171
Practice Location Phone/Fax
| Phone: | 5757380051 |
| Fax: | 5752913009 |
Provider Mailing Location
3900 N LOVINGTON HWY STE 550
HOBBS
NM
882401171
Provider Mailing Phone/Fax
| Phone: | 5759648025 |
| Fax: | 5752913009 |