Individual
KATHLEEN M ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 325-5011
Mailing address
2442 CERRILLOS RD, #311, SANTA FE, NM 87505-3262
(505) 470-2388
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R32428
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508806266
—
AZ
05
—
40409252
—
NM
05
—
91958237
—
CO
01
—
NM009F03
BCBS
NM
05
—
T0283
—
UT
Enumeration date
06/08/2006
Last updated
04/22/2010
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