Whalio Doctors

NPI 1013190610

Robert F. Kennedy Charter High School

Organisation Clinic/Center Albuquerque, NM

Practice location

Address
4300 Blake SW, Albuquerque, NM 87121
Phone
(505) 243-1118
Fax
(505) 242-7444

Authorised official

Name
Bonnie K. Kaueman
Title
Robert. F. Kennedy Sbhc Coordinator
Phone
(505) 239-7589

Registered specialties (4)

Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261Q00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Clinical Medical Laboratory
Laboratories Taxonomy 291U00000X Licence 3201078041 (NM)
Clinic Pharmacy
Suppliers Taxonomy 3336C0002X Licence CL00D110644 (NM)

Registry record

NPI
1013190610
Entity type
Organization
NPI issued
6 Dec 2007
Record last updated
4 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.