Individual
KATHLEEN MARIE HEAPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3830 SINGER BLVD NE, SUITE 3000, ALBUQUERQUE, NM 87109-5848
(505) 343-1711
Mailing address
12815 DESERT SKY AVE NE, ALBUQUERQUE, NM 87111-8050
(505) 797-7833
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2007-0017
NM
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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