Individual
KYRIECKOS A ALECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-4107
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
21245
AZ
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
86-160
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200303
—
AZ
Enumeration date
02/07/2006
Last updated
12/01/2024
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