Individual
KIMBERLY R ABEYTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BMS PROVIDER
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
(505) 820-9220
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I7094
—
NM
Enumeration date
08/31/2009
Last updated
08/31/2009
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