Individual
KYLA HALSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1455 S VALLEY DR STE B, LAS CRUCES, NM 88005-3165
(755) 526-6992
(575) 526-7983
Mailing address
1455 S VALLEY DR, LAS CRUCES, NM 88005-3165
(575) 526-7983
(575) 526-7983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2023-1308
NM
207Q00000X
Family Medicine Physician
MD61107798
WA
Other
Enumeration date
03/17/2018
Last updated
08/25/2023
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