SearchNew Mexico2255A2300X

Kellyann Gangaware, LAT, ATC

NPI 1841862513 · on the registry since 2021

Practice

Address
1414 University Boulevard Se
Albuquerque, NM 87131
Phone
(973) 960-7391
Clinicians at this address
9

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-27

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