Individual
KYLE MAESTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4700 JEFFERSON ST NE STE 750, ALBUQUERQUE, NM 87109-2132
(505) 418-6636
Mailing address
500 WALTER ST NE, ALBUQUERQUE, NM 87102-2534
(505) 727-4430
(505) 727-9590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
09/21/2023
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