Kresta S. Antillon
Family Medicine · Los Lunas, NM
UnclaimedNPI 1861887192
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2015-04-02
- Practice location
- Los Lunas, NM
- Last NPPES update
- 2022-04-26
State licenses
- NM · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.