Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ksp Health - New Mexico LLC

Organization Pediatric Registered Nurse · NPI 1902687940

Ksp Health - New Mexico LLC provides Pediatric Registered Nurse services in Albuquerque, New Mexico. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
12
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2201 Menaul Blvd NE Ste A
Albuquerque, NM 87107-1711
Phone: (234) 260-6212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Pediatric Registered Nurse Taxonomy 163WP0200X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Developmental - Behavioral Pediatrics Physician Taxonomy 2080P0006X
Pediatric Neurodevelopmental Disabilities Physician Taxonomy 2080P0008X
Pediatric Allergy/Immunology Physician Taxonomy 2080P0201X
Pediatric Cardiology Physician Taxonomy 2080P0202X
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X
Pediatric Endocrinology Physician Taxonomy 2080P0205X
Pediatric Gastroenterology Physician Taxonomy 2080P0206X
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X

Record details

NPI number1902687940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Muthukumar Vellaichamy — Owner · (234) 260-6212
Other names Ksp Health - New Mexico Llc
NPI enumeratedOctober 6, 2023
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023
Mailing address6446 E Central Ave Ste 183, Wichita, KS 67206-1923

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