Kathy Diane Halverson OD

NPI 1083669956 - Optometrist - 152W00000X

NPI Details
NPI 1083669956
Gender Female
Enumeration Date 05/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1501 SAN PEDRO DR SE
ALBUQUERQUE NM, 87108-5153, US
Phone (505) 265-1711
Fax (505) 256-5743
Business Location
319 SERENITY HILLS PL SE
ALBUQUERQUE NM, 87123-3966, US
Phone (505) 275-3347
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New Mexico
License Number 2457
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According to our database, Dr. Kathy Diane Halverson OD NPI is 1083669956, taxonomy code is 152W00000X and license number is 2457, license state is located at New Mexico. Kathy Diane Halverson OD physically located at 1501 San Pedro Dr Se, Albuquerque NM, 87108-5153. NPI Number Kathy Diane Halverson OD has the Individual type.

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1083669956 NPI number is provided on an as is basis without warranty of any kind. 1083669956 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Diane Halverson OD are for informational purposes only.