Individual
KATHLEEN M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 7600, PRESBYTERIAN HEART GROUP (PHG), ALBUQUERQUE, NM 87106-4921
(505) 563-2500
(505) 563-2599
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
985
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R9458
—
NM
Enumeration date
10/03/2006
Last updated
06/29/2009
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