Individual
KIMBERLY KAY KOZELISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4801 MCMAHON BLVD NW STE 245, ALBUQUERQUE, NM 87114-5478
(505) 315-3541
(505) 445-4904
Mailing address
PO BOX 44308, RIO RANCHO, NM 87174-4308
(505) 315-3541
(505) 445-4904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65686
NM
Other
Enumeration date
10/27/2021
Last updated
01/29/2026
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