KELLI SUZANNE WATKINS

RIO RANCHO, NM
NPI1154918381
Former NameKELLI LIGHT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2020-0113)
Enumeration Date2020-12-22
Last Update Date2021-10-27
Business Address
Mrs. KELLI SUZANNE WATKINS PA-C
2400 UNSER BLVD SE STE 19400
RIO RANCHO, NM 87124-4740
Phone number: 505-253-6100
Mailing Address
Mrs. KELLI SUZANNE WATKINS PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQEURQUE, NM 87125-6666
Phone number: 505-923-6770