Individual
MS. KIM S. O'CONNELL-BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1815 WELLS STREET, 2ND FLOOR, LAS CRUCES, NM 88005
(505) 646-5744
Mailing address
800 CHATEAU DR, LAS CRUCES, NM 88005-1534
(505) 647-5108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
152
NM
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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