Individual provider · Type 1 NPI
Keivon Kianfar, PA-C
Medical Physician Assistant · Albuquerque, NM
NPI number
1205384575
Active
Practice location
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA2016-0091 (NM) |
Medical Physician Assistant: Definition to come...
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About NPI 1205384575
Keivon Kianfar, PA-C's National Provider Identifier is 1205384575, issued on Sep 15, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 8, 2023.