SearchNew Mexico101YP2500X

Kimberly Conklan

NPI 1649411851 · on the registry since 2009

Practice

Address
01 Sagebrush Rd
Isleta, NM 87022
Phone
(505) 869-3200
Fax
(505) 869-4584
Organisation at this address
Pueblo Of Isleta
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-03-18

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