Individual provider · Type 1 NPI

Mimi Kessinger

Physician Assistant · Albuquerque, NM

NPI number 1124065834 Active

Practice location

2211 Lomas Blvd NE, 5ACC Clinic D
Albuquerque, NM 87106-2719

Fax (505) 272-3737

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X82-PA 007 (NM)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124065834

Mimi Kessinger's National Provider Identifier is 1124065834, issued on Jun 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 28, 2026.