Individual
KATHRYN JANE GORAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11601 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2660
(505) 418-8900
Mailing address
1500 N RENAISSANCE BLVD NE STE C, ALBUQUERQUE, NM 87107-7002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
10/17/2025
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