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Contact Information

KIERSTAN PERRY
1650 GALISTEO ST
SANTA FE, NM87505-4747
 Phone: 505-984-8313
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Specialist/Technologist, Pathology

246Q00000X
Indicates primary specialty

NPI Profile & details for KIERSTAN PERRY · (Female)

NPI Number 1134961113
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2024
Last updated 09/20/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NM License # SAH-2024-0176
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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