Whalio Doctors

NPI 1770789125

Martin Jon Kileen, MDMPH

Practitioner Family Medicine Physician Bernalillo, NM

Practice location

Address
Santa Ana Clinic O2-C Dove Rd, Bernalillo, NM 87004
Phone
(505) 867-2497
Fax
(505) 867-1526
Mailing address
1 Sagebrush St. Isleta Health Center, Isleta, NM 87022

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 6242 (MT)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD2014-0014 (NM)

Registry record

NPI
1770789125
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jun 2007
Record last updated
12 Jul 2018

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.