Individual provider · Type 1 NPI

Mark Allen Kneisley

Emergency Registered Nurse · Pecos, NM

NPI number 1730816083 Active

Practice location

#3 Rougemont Ln
Pecos, NM 87552

Mailing address

HC 74 Box 875
Pecos, NM 87552-9515

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003XRN-83310 (NM)

Emergency Registered Nurse: Definition to come...

About NPI 1730816083

Mark Allen Kneisley's National Provider Identifier is 1730816083, issued on Aug 5, 2022. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Pecos, NM. The record was last updated on Aug 5, 2022.