Healthcare Provider Details

I. General information

NPI: 1033412879
Provider Name (Legal Business Name): ERIN MARGARET KEETSO D.O.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2010
Last Update Date: 02/12/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 COMANCHE RD NE SUITE A5
ALBUQUERQUE NM
87107-4546
US

IV. Provider business mailing address

9205 STORM CLOUD AVE NW
ALBUQUERQUE NM
87120-4190
US

V. Phone/Fax

Practice location:
  • Phone: 505-301-1985
  • Fax:
Mailing address:
  • Phone: 505-307-5327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1036
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: