Individual
JEANELLE KIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
(505) 823-8233
(505) 823-8059
Mailing address
5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
(505) 823-8233
(505) 823-8059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0338
TX
Other
Enumeration date
08/05/2006
Last updated
03/02/2016
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