Organization
KATHRYN J HAHN, DOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN J HAHN DOM (OWNER)
(505) 216-5077
Entity
Organization
Contact information
Practice address
1925 ASPEN DR STE 502B, SANTA FE, NM 87505-5559
(505) 216-5077
(505) 216-0866
Mailing address
1925 ASPEN DR STE 502B, SANTA FE, NM 87505-5559
(505) 216-5077
(505) 216-0866
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
771
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992818850
BLUE CROSS BLUE SHIELD
NM
Enumeration date
12/28/2017
Last updated
12/28/2017
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