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Individual

MS. KATHLEEN EDNA MALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
410 CARLISLE BLVD SE, ALBUQUERQUE, NM 87106-1412
(505) 412-2259
(505) 992-2930
Mailing address
410 CARLISLE BLVD SE, ALBUQUERQUE, NM 87106-1412
(505) 412-2259
(505) 992-2930

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A-784-84
NM
208D00000X
General Practice Physician
A-784-84
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40527
NM
Enumeration date
02/15/2006
Last updated
07/03/2019
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