Individual
KIMBERLY S MOHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6843
(505) 368-6103
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6843
(505) 368-6103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9701500
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485608
—
AZ
05
—
67303374
—
CO
05
—
76921
—
NM
Enumeration date
10/26/2005
Last updated
01/14/2019
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