Kaselonis, Gary Lee
Kaselonis, Gary Lee is an individual health care provider with primary practice located at 4701 Montgomery Blvd Ne , Albuquerque NM 87109-1219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Kaselonis, Gary Lee can be contacted via phone (505) 727-8104.Contact Information
Primary practice address
4701 Montgomery Blvd Ne
Albuquerque NM 87109-1219
Phone: (505) 727-8104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD2004-0776 | New Mexico |
Profile Details
| NPI number | 1356326839 |
|---|---|
| LBN Legal business name | Kaselonis, Gary Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356326839 | NPPES |
| New Mexico | MEDICAID | 23833238 |
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