| Kgh Services Llc | |
|
4011 Barbara Loop Se Ste 107 Rio Rancho NM 87124-1040 | |
| (513) 370-0356 | |
| Not Available |
| Full Name | Kgh Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 4011 Barbara Loop Se Ste 107, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Kristal Kinzer Howell (REGISTERED AGENT) |
| Authorized Official Contact | 5133700356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kgh Services Llc 10230 Gelfand Pl Nw Albuquerque NM 87114-4501 Ph: (513) 370-0356 | Kgh Services Llc 4011 Barbara Loop Se Ste 107 Rio Rancho NM 87124-1040 Ph: (513) 370-0356 |
| NPI Number | 1497308837 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 07/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497308837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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