Individual
KATHLEEN SUE HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
390 CALLE DE ALEGRA, LAS CRUCES, NM 88005-3280
(575) 556-8200
(575) 556-8180
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
89-209
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020925
—
NM
Enumeration date
10/24/2006
Last updated
02/29/2016
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