Individual
CAITLIN MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 HOSPITAL LOOP NE STE 215, ALBUQUERQUE, NM 87109-2128
(505) 553-4682
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
RD1416
NM
Other
Enumeration date
03/11/2021
Last updated
08/02/2021
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