Kathleen A Shore DO

NPI 1720240492 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1720240492
Gender Female
Enumeration Date 06/25/2008
Last Updated 05/17/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
2400 TUCKER NE
ALBUQUERQUE NM, 87131-0001, US
Phone (505) 272-1734
Fax (505) 272-6308
Business Location
933 BRADBURY DR SE STE 2222
ALBUQUERQUE NM, 87106-4375, US
Phone (505) 272-3120
Fax (505) 272-8060
Toxanomy
Taxonomy Code 390200000X
License State Arizona
License Number R1020
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According to our database, Kathleen A Shore DO NPI is 1720240492, taxonomy code is 390200000X and license number is R1020, license state is located at Arizona. Kathleen A Shore DO physically located at 2400 Tucker Ne, Albuquerque NM, 87131-0001. NPI Number Kathleen A Shore DO has the Individual type.

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1720240492 NPI number is provided on an as is basis without warranty of any kind. 1720240492 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen A Shore DO are for informational purposes only.