Kelyn Y De Matta, is a
Counselor based in Fort. Sumner, New Mexico. Kelyn Y De Matta is licensed to practice in * (Not Available) (license number ) and her current practice location is
678 Avenue C, Fort. Sumner, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 355-8326.
NPI number for Kelyn Y De Matta is 1861784530 and her current mailing address is Po Box 28220, Santa Fe, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861784530.
Healthcare Provider's Profile
Full Name | Kelyn Y De Matta |
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Gender | Female |
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Speciality | Counselor |
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Location | 678 Avenue C, Fort. Sumner, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861784530
- Provider Enumeration Date: 05/12/2011
- Last Update Date: 05/12/2011
Medical Identifiers
Medical identifiers for Kelyn Y De Matta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861784530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelyn Y De Matta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelyn Y De Matta, Po Box 28220, Santa Fe, NM 87592-8220 Ph: (505) 471-5006 | Kelyn Y De Matta, 678 Avenue C, Fort. Sumner, NM 88119 Ph: (575) 355-8326 |
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