Individual provider · Type 1 NPI

Kelsey JB Soppet

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1396374484 Active

Practice location

MSC10 5590 1 University Of New Mexico
Albuquerque, NM 87131-0001

Call (505) 272-2345 Map

Fax (505) 272-2374

Other practice locations

  • 939 Oak St SE, Salem, OR 97301-3901 · (503) 814-3637
  • 2400 Unser Blvd SE, Rio Rancho, NM 87124-3392 · (505) 253-7878
  • 1100 Central Ave SE, Albuquerque, NM 87106-4930 · (505) 841-1234

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XDO230745 (OR)
Student in an Organized Health Care Education/Training Program Primary 390200000XDO2023-1021 (NM)
Pediatrics Physician 208000000XDO2023-1021 (NM)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

42 other providers at this address

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About NPI 1396374484

Kelsey JB Soppet's National Provider Identifier is 1396374484, issued on Apr 2, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 3, 2026.