Individual
MR. KEITH PHILIP HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT/CNMT
Contact information
Practice address
2509 VERMONT ST NE, ST. C #104, ALBUQUERQUE, NM 87110-4688
(505) 417-9491
Mailing address
2509 VERMONT ST. NE, ST. C #104, ALBUQUERQUE, NM 87110
(505) 417-9491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5111
NM
Other
Enumeration date
12/18/2007
Last updated
05/30/2013
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