Healthcare Provider Details

I. General information

NPI: 1881938868
Provider Name (Legal Business Name): CHRISTINA EMILY KITHIL N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 HOSPITAL DR STE D
SANTA FE NM
87505-4772
US

IV. Provider business mailing address

1630 HOSPITAL DR STE D
SANTA FE NM
87505-4772
US

V. Phone/Fax

Practice location:
  • Phone: 505-388-2868
  • Fax: 505-388-2878
Mailing address:
  • Phone: 505-388-2868
  • Fax: 505-388-2878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberND0016
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number0016
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberND0016
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: