Individual
SUSAN MARGARET KELLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
163 CAMINO ALTO, CORRALES, NM 87048-7513
(505) 967-9603
Mailing address
163 CAMINO ALTO, CORRALES, NM 87048-7513
(505) 967-9603
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
92-264
NM
Other
Enumeration date
07/24/2006
Last updated
02/06/2017
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