Aboud, Kandy Lee

Aboud, Kandy Lee is an individual health care provider with primary practice located at 100 W Griggs Ave , Las Cruces NM 88001-1234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Aboud, Kandy Lee can be contacted via phone (575) 647-2800.

Contact Information

Primary practice address
100 W Griggs Ave Las Cruces NM 88001-1234
Fax: (575) 647-2898
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP01783 New Mexico

Profile Details

NPI number 1376650044
LBN Legal business name Aboud, Kandy Lee
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 22nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376650044 NPPES
New Mexico MEDICAID 9029028

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