Kids Roads and Skies Medical

Organization Active NPI Pediatrics Physician · Sapello, NM

NPI 1104538958 · NPPES record last updated Dec 22, 2022

Key facts

NPI
1104538958
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
KIDS ROADS AND SKIES MEDICAL
Practice address
21 County Road A4A
Sapello, NM 87745-5002
Phone
(505) 429-5846
NPI assigned
Dec 22, 2022
Organization subpart
No

Authorized official

Name
Nancy Wright, MD
Title
Owner / Provider
Phone
(505) 429-5846

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

21 County Road A4A
Sapello, NM 87745-5002

Mailing address

21 County Road A4A
Sapello, NM 87745-5002

Other providers in Sapello, NM

All providers in Sapello, NM · Pediatrics Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.