Individual
KELLY CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3911 4TH ST NW, ALBUQUERQUE, NM 87107-2510
(505) 433-4493
Mailing address
10415 TALL ROCK CT NW, ALBUQUERQUE, NM 87114-6078
(505) 620-5965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65689
NM
Other
Enumeration date
10/27/2021
Last updated
09/03/2024
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