Individual
KELLIE LYNN CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
100 FRANKLIN STREET, GRADY, NM 88120
(575) 357-2192
(575) 357-2192
Mailing address
PO BOX 847, PORTALES, NM 88130-0847
(575) 562-4458
(575) 562-4460
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
435940
NM
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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