Knackstedt Medical Group Inc.
NPI #1841651809 in Los Ranchos, New Mexico
Provider Information
- NPI Number
- 1841651809
- Entity Type
- Organization
- Organization Name
- Knackstedt Medical Group Inc.
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 17, 2016
- Last Updated
- Mar 17, 2016
Practice Location
- Address
- 7218 4TH ST NW
- City
- Los Ranchos
- State
- New Mexico
- ZIP Code
- 87107-6624
- Phone
- (505) 730-5603
Authorized Official
- Name
- SHIRLEY KNACKSTEDT, CNP
- Title
- CO-OWNER
- Phone
- (505) 730-5603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Nurse Practitioner - Family — Family |
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