Individual
KERRY ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5141
(575) 522-8641
Mailing address
PO BOX 13580, LAS CRUCES, NM 88013-3580
(575) 556-5960
(575) 556-5959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-02837
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97757560
—
NM
Enumeration date
01/29/2016
Last updated
10/31/2019
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