| NPI | 1902687940 |
|---|---|
| Doing Business As | KSP HEALTH - NEW MEXICO LLC |
| Entity Type | Organization |
| Authorized Contact | MUTHUKUMAR VELLAICHAMY Owner 234-260-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |