Individual
DR. KIMBERLY MARIE RUTH PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNM DEPARTMENT OF EMERGENCY MEDICINE 1 UNM, ALBUQUERQUE, NM 87131-4700
(505) 272-5560
(505) 272-6503
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-6503
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2017-0629
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/14/2014
Last updated
10/09/2024
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