Individual
DARRA KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 RIDGECREST DR SE, VA MEDICAL CENTER, ALBUQUERQUE, NM 87108-5128
(505) 265-1711
Mailing address
2100 RIDGECREST DR SE, MSC10 5610, ALBUQUERQUE, NM 87108-5128
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
99-233
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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