# KINSHIP INSTITUTE TRUST COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811186950
- **Authorized official:** MARIA GABRIELLE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (505) 438-0062

## Contact information

- **Practice address:** 1264B RODEO RD, SANTA FE, NM 87505-6816
- **Practice address phone:** (505) 438-4848
- **Practice address fax:** (505) 438-4288
- **Mailing address:** 1264B RODEO RD, SANTA FE, NM 87505-6816
- **Mailing address phone:** (505) 438-4848
- **Mailing address fax:** (505) 438-4288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2007
- **Last updated:** 07/03/2008