Individual
CHRISTY KINNUNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 PASEO DEL CANON E, TAOS, NM 87571-6239
(575) 737-6000
Mailing address
P.O. BOX 1521, TAOS, NM 87571-1521
(850) 602-7749
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4598
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856000179
—
NM
Enumeration date
12/08/2009
Last updated
12/08/2009
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