Individual
THOMAS H KELCHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4401 MASTHEAD ST NE, SUITE 120, ALBUQUERQUE, NM 87109-4327
(505) 243-7729
(505) 243-4804
Mailing address
4401 MASTHEAD ST NE, SUITE 120, ALBUQUERQUE, NM 87109-4327
(505) 243-7729
(505) 243-4804
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA00953
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67108261
—
NM
Enumeration date
08/30/2005
Last updated
10/22/2013
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