SearchNew Mexico225100000X

Shelly Kennedy

NPI 1760970305 · on the registry since 2018 · sole proprietor

Practice

Address
2924 Santa Clara Ave Se
Albuquerque, NM 87106
Phone
(505) 515-7748

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-30

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