Organization
KEYSTONE WOMENS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN A SORENSEN (ADMIN)
(602) 431-1152
Entity
Organization
Contact information
Practice address
2213 BROTHERS RD, SUITE 700, SANTA FE, NM 87505-6993
(505) 466-5433
(505) 466-5436
Mailing address
2213 BROTHERS RD, SUITE 700, SANTA FE, NM 87505-6993
(505) 466-5433
(505) 466-5436
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD2011-0411
NM
Other
Enumeration date
07/11/2016
Last updated
07/15/2016
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