Watkins, Kelli Suzanne
Watkins, Kelli Suzanne is an individual health care provider with primary practice located at 2400 Unser Blvd Se Ste 19400 , Rio Rancho NM 87124-4740. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Watkins, Kelli Suzanne can be contacted via phone (505) 253-6100.Contact Information
Primary practice address
2400 Unser Blvd Se Ste 19400
Rio Rancho NM 87124-4740
Phone: (505) 253-6100
Fax: (505) 253-6179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2020-0113 | New Mexico |
Profile Details
| NPI number | 1154918381 |
|---|---|
| LBN Legal business name | Watkins, Kelli Suzanne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2020 |
| Last updated | Oct 27th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154918381 | NPPES |
| New Mexico | MEDICAID | 76328503 |
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