Individual
KRISTIN ALYSSA GIACOLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 UNSER BLVD SE STE 19400, RIO RANCHO, NM 87124-3392
(505) 253-6100
(605) 253-6179
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2025-0764
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2019
Last updated
03/09/2026
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