Petties, Kali Suzanne Nan

Petties, Kali Suzanne Nan is an individual health care provider with primary practice located at 119 Industrial Ave Ne , Albuquerque NM 87107-2283. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Petties, Kali Suzanne Nan can be contacted via phone (505) 345-2127.

Contact Information

Primary practice address
119 Industrial Ave Ne Albuquerque NM 87107-2283
Phone: (505) 345-2127
Fax: (505) 345-2127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X T-CTL0220451 New Mexico
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1639210404
LBN Legal business name Petties, Kali Suzanne Nan
Credentials T-CTL0220451
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Nov 5th, 2021 - about 3 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.

Request for update

Popular Providers