Individual
MRS. LAINE THISTLE KELTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 256-5171
(505) 256-5466
Mailing address
7309 ANKARA RD NE, ALBUQUERQUE, NM 87122-3381
(505) 797-9660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R48690
NM
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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