Individual
KYLE BING ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 706-2040
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 706-2040
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1217
NM
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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