Individual
MS. KELLY MARIE ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5901 ZUNI RD SE, TURQUIOSE LODGE HOSPITAL/NM DEPT OF HEALTH, ALBUQUERQUE, NM 87108-2519
(505) 383-1143
Mailing address
3316 CHELWOOD RD NE, ALBUQUERQUE, NM 87111-5410
(505) 710-1528
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2007-0027
NM
Other
Enumeration date
02/15/2008
Last updated
08/30/2010
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