Individual
KAROLAYN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 GARDEN PARK CIR NW, ALBUQUERQUE, NM 87107-2655
(505) 312-8674
Mailing address
19 GARDEN PARK CIR NW, ALBUQUERQUE, NM 87107-2655
(505) 312-8674
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
2257
NM
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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