Individual
MR. KYLE I SCHOENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
500 WALTER ST NE STE 213, ALBUQUERQUE, NM 87102-2543
(505) 727-7177
Mailing address
500 WALTER ST NE STE 213, ALBUQUERQUE, NM 87102-2543
(505) 727-7177
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
AP30007611
WA
208VP0014X
Interventional Pain Medicine Physician
Primary
CNP01051
NM
363L00000X
Nurse Practitioner
CNP01051
NM
363L00000X
Nurse Practitioner
R44461
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4120701
—
NM
05
—
7036163
—
WA
01
—
CNP01051
NM LICENSE
NM
Enumeration date
03/22/2007
Last updated
07/10/2024
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