SearchNew Mexico106S00000X

Keili Vidales

NPI 1497607105 · on the registry since 2026 · sole proprietor

Practice

Address
Po Box 596
Mentmore, NM 87319
Phone
(505) 870-0734

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-13

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 New Mexico