Individual
KATELAND TOWNLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 758-8883
Mailing address
PO BOX 1587, EL PRADO, NM 87529-1587
(406) 579-9437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
177806
AK
207P00000X
Emergency Medicine Physician
61585
AZ
207P00000X
Emergency Medicine Physician
Primary
MD2023-1339
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689161960
—
AZ
Enumeration date
04/22/2018
Last updated
12/07/2024
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