Individual
KAITLYN BROWN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(480) 573-8829
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(480) 573-8829
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L.4761R
AL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD2024-0794
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
08/02/2024
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