Individual
MS. KATHLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
455 SAINT MICHAELS DR, OB UNIT, SANTA FE, NM 87505-7601
(505) 820-5554
(505) 820-5440
Mailing address
455 SAINT MICHAELS DR, MEDICAL STAFF OFFICE, SANTA FE, NM 87505-7601
(505) 820-5554
(505) 820-5440
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R46711
NM
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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