Individual
KELSEY SOPPET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC10 5590 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2345
(505) 272-2374
Mailing address
MSC10 5590 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2345
(505) 272-2374
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
DO2023-1021
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DO2023-1021
NM
Other
Enumeration date
04/02/2020
Last updated
06/20/2024
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