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NPI Code Detail

MEDICARE: KYLIE MARTINEZ

MEDICARE: KYLIE MARTINEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1952260515
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE MARTINEZ
Provider Business Mailing Address
First Line : 7816 CHACO MESA LOOP NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87114-1697
Country : US
Telephone Number : 505-331-3133
Fax Number :
Provider Business Practice Location Address
First Line : 3939 SAN PEDRO DR NE BLDG B1
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-8903
Country : US
Telephone Number : 505-440-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ KYLIE MARTINEZ ” Practice Location

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