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Contact Information

REBECCA KUDLATY
4801 BECKNER RD STE 1600
SANTA FE, NM87507-3641
 Phone: 505-772-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for REBECCA KUDLATY · (Female)

NPI # 1609508787
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2022
Last updated 04/23/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 77787
  • TX License # 1077309
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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