OrganizationActive
Kidsbridge
NPI 1740556893 · Clinic/Center · Los Ranchos, NM
Provider details
- NPI number
- 1740556893
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristen Wiese, Owner / Operator(505) 908-0717
- License
- 2414 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
608 Bledsoe Rd Nw
Los Ranchos, NM 87107-6219
Phone: (505) 908-0717
Fax: (505) 344-5553
Approximate (ZIP-level) locationGet directions
Mailing address
1104 Salamanca St Nw
Los Ranchos, NM 87107-5626
Registry dates
- Enumerated
- 2012-03-22
- Last updated
- 2012-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.