NPI 1033964812

Kyle McKenzie Manuelito

Practitioner Peer Specialist Albuquerque, NM

Practice location

Address: 6000 Uptown Blvd NE STE 140, Albuquerque, NM 87110-4157
Phone: (505) 305-4949
Mailing address: PO Box 644, Gallup, NM 87305-0644

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 1570 (NM)

Other Peer Specialist providers in New Mexico →

Registry record

NPI: 1033964812
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2024
Record last updated: 23 Apr 2024

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.