Martin-Rodriguez, Kelley D
Martin-Rodriguez, Kelley D is an individual health care provider with primary practice located at 914 N Canal St , Carlsbad NM 88220-5110. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin-Rodriguez, Kelley D can be contacted via phone (575) 885-4836.Contact Information
Primary practice address
914 N Canal St
Carlsbad NM 88220-5110
Phone: (575) 885-4836
Fax: (575) 887-9579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | X-05589 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-06889 | New Mexico |
Profile Details
| NPI number | 1275612442 |
|---|---|
| LBN Legal business name | Martin-Rodriguez, Kelley D |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | May 26th, 2009 - about 15 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 | 1275612442 | NPPES |
| New Mexico | MEDICAID | 48857823 |
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