Kevin Stafford

NPI 1992830830 · on the registry since 2007

Practice

Address: 2120 Alpine Blvd
Alpine, CA 91901
Phone: (619) 445-2264
Organisation at this address: Alpine Special Treatment Center
Alpine Special Treatment Center
Alpine Special Treatment Center
Behavioral Health Management System
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 42

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California