Individual
PATRICIA L KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2305 MATTHEW AVE NW, ALBUQUERQUE, NM 87104-3214
(505) 463-1228
(505) 243-3921
Mailing address
PO BOX 27746, ALBUQUERQUE, NM 87125-7746
(505) 463-1228
(505) 243-3921
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
98-302
NM
2084P0800X
Psychiatry Physician
Primary
41064
CT
Other
Enumeration date
07/16/2007
Last updated
05/08/2013
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