KAREN KENNICOTT

ALBUQUERQUE, NM
NPI1679602296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NM  8792)
Enumeration Date2007-03-02
Last Update Date2008-07-15
Business Address
-- KAREN KENNICOTT MD
5901 HARPER DR NE PMG NORTHSIDE
ALBUQUERQUE, NM 87109-3587
Phone number: 505-823-8888
Mailing Address
-- KAREN KENNICOTT MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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