Individual
MARY THALIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
INTERNAL MEDICINE, MSC 10-5550, 1 UNM, ALBUQUERQUE, NM 87131-0001
(505) 272-2147
Mailing address
4808 MCMAHON BLVD NW, UNM WESTSIDE CLINIC, ALBUQUERQUE, NM 87114
(505) 272-2900
(505) 272-2909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
93-299
NM
Other
Enumeration date
01/26/2007
Last updated
08/28/2013
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