Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey Jb Soppet

Individual provider Pediatrics Physician · NPI 1396374484

Kelsey Jb Soppet is a Pediatrics Physician in Albuquerque, New Mexico. Practices as a sole proprietor and works from 4 locations. Licensed in New Mexico and Oregon.

Licensed in
NM, OR
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

MSC10 5590 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone: (505) 272-2345
Fax: (505) 272-2374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1100 Central Ave Se, Albuquerque, NM 87106-4930 — (505) 841-1234
  • 2400 Unser Blvd Se, Rio Rancho, NM 87124-3392 — (505) 253-7878
  • 939 Oak St Se, Salem, OR 97301-3901 — (503) 814-3637

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence DO2023-1021 (NM)
Pediatrics Physician Taxonomy 208000000X · Licence DO230745 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence DO2023-1021 (NM)

Record details

NPI number1396374484
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2020
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing addressMsc10 5590 1 University Of New Mexico, Albuquerque, NM 87131-0001

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