Individual
JESSICA LEE KNEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
201 CEDAR ST SE, STE 4620, ALBUQUERQUE, NM 87106-4922
(505) 841-1995
(505) 841-1373
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2015019326
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A-2368-20
NM
Other
Enumeration date
06/19/2015
Last updated
04/02/2025
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