National Provider Identifier Database

NEW MEXICO CHILDRENS KIDNEY CENTER
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

NEW MEXICO CHILDRENS KIDNEY CENTER
4343 PAN AMERICAN FWY NE
#234
ALBUQUERQUE, NM87107-6834
Phone: 505-842-5240
Fax: 505-242-4403
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for NEW MEXICO CHILDRENS KIDNEY CENTER

NPI Number 1245478270
Legal business name
LBN
NEW MEXICO CHILDRENS KIDNEY CENTER
Authorized official ROBERT MILLER - (PEDIATRIC NEPHROLOGY)
Entity Organization
Organization subpart No
Enumeration date 01/29/2009
Last updated 10/06/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 98-339

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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