Individual
KURT SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 SAN PEDRO DR NE, SUITE C, ALBUQUERQUE, NM 87110-4119
(505) 238-8233
Mailing address
PO BOX 8322, ALBUQUERQUE, NM 87198-8322
(505) 238-8233
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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