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AMELIA BROOKS KREIENKAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 753-7111
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2017020363
MO
208000000X
Pediatrics Physician
Primary
MD2020-0740
NM

Other

Enumeration date
06/21/2017
Last updated
08/27/2020
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