Individual
DR. JACQUELINE KIM DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1617 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1710
(505) 341-4841
(505) 345-9914
Mailing address
1617 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1710
(505) 341-4841
(505) 345-9914
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2001-170
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12737011
—
NM
Enumeration date
02/27/2006
Last updated
05/21/2012
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