Individual provider · Type 1 NPI

Kacee Child

Nurse Practitioner · Albuquerque, NM

NPI number 1114759966 Active

Practice location

715 Dr Martin Luther King Jr Ave NE Ste 301
Albuquerque, NM 87102-3668

Mailing address

4101 Indian School Rd NE Ste 110
Albuquerque, NM 87110-3991

Other practice locations

  • 2211 Lomas Blvd NE, Albuquerque, NM 87106-2719 · (505) 272-0722

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X80267 (NM)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

7 other providers at this address

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About NPI 1114759966

Kacee Child's National Provider Identifier is 1114759966, issued on Aug 19, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 29, 2025.