Healthcare Provider Details

I. General information

NPI: 1265398481
Provider Name (Legal Business Name): NEW MEXICO NATUROPATHIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
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 Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA EMILY KITHIL
Title or Position: OWNER
Credential: ND
Phone: 505-577-0831