Conor Kiely
Student in an Organized Health Care Education/Training Program in Albuquerque, NM. Individual provider (NPI-1).
Details
- NPI
- 1104767326
- Entity type
- Individual (NPI-1)
- Name
- Conor Kiely
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2026
- Certification date
- May 18, 2026
- Last updated
- May 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | RS2026-0068 | NM | Yes |
Practice location
Msc10 5550Albuquerque, NM 87131-0001
Phone 505-272-3160 · Fax 505-272-9427
Mailing address
Msc10 5550Albuquerque, NM 87131-0001
Phone 505-272-3160 · Fax 505-272-9427
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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